Provider Demographics
NPI:1750868444
Name:WUNDU, AROUNA WUBUTA (HHA)
Entity Type:Individual
Prefix:
First Name:AROUNA
Middle Name:WUBUTA
Last Name:WUNDU
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 QUEENS CHAPEL RD APT 3
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3869
Mailing Address - Country:US
Mailing Address - Phone:240-850-5443
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:5804 QUEENS CHAPEL RD APT 3
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3869
Practice Address - Country:US
Practice Address - Phone:240-850-5443
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13714374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide