Individual
TEGHEN NCHOTU FOMINJANG AZINWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2526 PENNSYLVANIA AVE SE STE C, WASHINGTON, DC 20020-6729
(202) 748-5641
(202) 748-5647
Mailing address
7401 NEW HAMPSHIRE AVE APT 1011, TAKOMA PARK, MD 20912-6954
(240) 398-1522
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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