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Individual

BURNLEY BIKOLA NGEMBUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
(202) 388-4339
Mailing address
2968 CHINKAPIN OAK LN, WOODBRIDGE, VA 22191-7514
(703) 649-1873

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/29/2022
Last updated
08/29/2023
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