Individual
EUGENIE MBONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(240) 423-7755
Mailing address
6809 RED TOP RD APT 3, TAKOMA PARK, MD 20912-5911
(240) 423-7755
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/26/2016
Last updated
09/21/2016
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