Individual
JOSEPH MBOUTCHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Mailing address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/19/2013
Last updated
09/27/2024
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