Individual
DANIEL RANDOLPH MUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 CHAPLIN ST SE APT 201, WASHINGTON, DC 20019-4276
(202) 285-5517
Mailing address
1155 42ND ST NE, WASHINGTON, DC 20019-1975
(202) 413-9303
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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