Individual
KENECHUKWU CHARLES AMANDIBUOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 635-5756
(202) 635-5780
Mailing address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 635-5756
(202) 635-5780
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14448
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA14448
HHA LICENSE
DC
Enumeration date
08/14/2019
Last updated
08/14/2019
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