Individual
ENDAM MUDOH GRACOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 201, WASHINGTON, DC 20020-7026
(877) 659-4500
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE 201, WASHINGTON, DC 20020-7026
(877) 659-4500
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
HHA14849
DC
Other
Enumeration date
01/06/2020
Last updated
05/13/2026
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