Individual
GENET MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 JEFFERSON PL NW, WASHINGTON, DC 20036-2505
(202) 299-1109
Mailing address
1820 JEFFERSON PL NW, WASHINGTON, DC 20036-2505
(202) 299-1109
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
NA00607993
DC
Other
Enumeration date
05/20/2016
Last updated
03/07/2018
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