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Organization

MAMATOTO VILLAGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AZA NEDHARI (EXECUTIVE DIRECTOR)
(202) 248-3434
Entity
Organization

Contact information

Practice address
4315 SHERIFF RD NE, WASHINGTON, DC 20019-3739
(202) 248-3434
Mailing address
4315 SHERIFF RD NE, WASHINGTON, DC 20019-3739
(202) 248-3434

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
374J00000X
Doula
Primary

Other

Enumeration date
11/24/2014
Last updated
06/27/2024
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