Most Relevant Information
Provider Data
| NPI Number: | 1003412040 |
| Provider Name: | MAHAMADI SAWADOGO RN,BSN,WCC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | R245520 |
Most Important Dates
| Enumeration Date: | 12/06/2020 |
| Last Updated: | 12/06/2020 |
Provider Practice Location
4132 LANCASTER CIR
WALDORF
MD
206034681
Practice Location Phone/Fax
| Phone: | 2022905123 |
| Fax: |
Provider Mailing Location
4132 LANCASTER CIR
WALDORF
MD
206034681
Provider Mailing Phone/Fax
| Phone: | 2022905123 |
| Fax: |