Most Relevant Information
Provider Data
| NPI Number: | 1003362070 |
| Provider Name: | MARY OMWEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2016 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
6507 LANDOVER RD
CHEVERLY
MD
207851418
Practice Location Phone/Fax
| Phone: | 2407080860 |
| Fax: |
Provider Mailing Location
1251 42ND ST SE
WASHINGTON
DC
200206034
Provider Mailing Phone/Fax
| Phone: | 2407080860 |
| Fax: |