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NYUYDZEVER TUMMO BONGMOYONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3921 MINNESOTA AVE NE, WASHINGTON, DC 20019-2662
(202) 839-5310
Mailing address
795 SAINT MICHAELS DR, BOWIE, MD 20721-1961
(202) 839-5310

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DC

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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