Individual
JEROME LOUIS GOTHAR NTOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
702 15TH ST NE # DC, WASHINGTON, DC 20002-4508
(202) 388-8500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/07/2015
Last updated
11/07/2024
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