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Individual

LUCAS KEMINDA AYONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2010 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2835
(240) 467-4367
Mailing address
6735 NEW HAMPSHIRE AVE APT 901, TAKOMA PARK, MD 20912-2832
(240) 467-4367

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide
12733
MD

Other

Enumeration date
05/15/2017
Last updated
10/03/2024
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