Individual
MR. JEAN DAGOBERT MADENGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13812 CASTLE BLVD APT 303, SILVER SPRING, MD 20904-7328
(240) 876-7632
(202) 450-3109
Mailing address
13812 CASTLE BLVD APT 303, SILVER SPRING, MD 20904-7328
(240) 876-7632
(202) 450-3109
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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