Individual
MRS. COMFORT DUPE BOGUNJOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN, MSC
Contact information
Practice address
3115 GEORGIA AVE NW, SUITE 3, WASHINGTON, DC 20010-2901
(202) 829-1595
(202) 829-1812
Mailing address
12217 KINGS ARROW ST, BOWIE, MD 20721-1943
(240) 354-1632
(240) 245-3910
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN1003995
DC
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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