Individual
BLANDINE MONJOWA EMMANUELLA MWAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7826 EASTERN AVE NW STE LL16, WASHINGTON, DC 20012-1328
(202) 723-1100
Mailing address
3422 DODGE PARK RD APT 203, LANDOVER, MD 20785-2047
(240) 899-4436
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14672
DC
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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