Individual
KIM FRANCIS O BAGALACSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 IDAHO AVE NW APT 723, WASHINGTON, DC 20016-5421
(202) 549-5995
Mailing address
3040 IDAHO AVE NW APT 723, WASHINGTON, DC 20016-5421
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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