Individual
HENRIETTE REINE DJEUTIO MAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENN AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
13117 CRUTCHFIELD AVE, BOWIE, MD 20720-3212
(206) 536-7239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
376K00000X
Nurse's Aide
NA0000812097
DC
Other
Enumeration date
03/01/2021
Last updated
04/19/2024
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