SearchMaryland363LG0600X

Bonaventure Mbella

NPI 1548818750 · on the registry since 2019 · sole proprietor

Practice

Address
12513 Woodsong Ln
Bowie, MD 20721
Phone
(256) 417-7067
Organisation at this address
Continuum Wound And Primary Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 9811 Mallard Dr Ste 207, Laurel, MD
  • 501 School St Sw, Washington, DC

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Also registered as
163W00000X
363L00000X
363LA2200X
363LA2200X
363LG0600X
Licence states on file
DC, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-13

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