Individual
CAROLINE MANDENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5308 4TH ST NW, WASHINGTON, DC 20011-3172
(202) 465-4630
Mailing address
5308 4TH ST NW, WASHINGTON, DC 20011-3172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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