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Individual

MARTHA EBAI ATABONGAKENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
11703 HOLLY HOCK CT, UPPER MARLBORO, MD 20774-9302
(301) 326-6997

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LG200004397
DC
172V00000X
Community Health Worker
Primary
374U00000X
Home Health Aide

Other

Enumeration date
06/13/2012
Last updated
11/03/2025
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