Individual
NGWENITA MAFOR NOELLA ASEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 42ND ST NW STE 105, WASHINGTON, DC 20016-4623
(571) 291-9752
Mailing address
502 KENNEDY ST NW, WASHINGTON, DC 20011-3136
(202) 313-7283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017093157
—
DC
Enumeration date
09/01/2016
Last updated
03/28/2023
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