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Lesly Agwenjang
NPI 1417439118 · on the registry since 2018
Practice
- Address
- 5201 Quincy Street
Apt B2
Blandesburg, MD 20784 - Phone
- (202) 705-4827
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland