NPI 1447593231

Valentine B Etiendem

Practitioner Religious Nonmedical Practitioner Bowie, MD

Practice location

Address: 11804 Chantilly Ln, Bowie, MD 20721-2131
Phone: (202) 545-0935
Fax: (202) 545-0934

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Maryland →

Registry record

NPI: 1447593231
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2013
Record last updated: 1 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.