Individual provider · NPI-1

Abraham Yengwia

Community/Behavioral Health · Bowie, MD

NPI number1912475278
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1912475278
Entity type
Individual (NPI-1)
Name
Abraham Yengwia
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 5, 2018
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
374U00000X Home Health AideHHA14112DC
3747A0650X Technician, Attendant Care Provider––

Practice location

16110 Amethyst Ln
Bowie, MD 20716-3807

Phone 240-556-8015

Mailing address

16110 Amethyst Ln
Bowie, MD 20716-3807

Phone 240-556-8015

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