Individual
CHICK E NDIFANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6856 EASTERN AVE NW STE 350, WASHINGTON, DC 20012-2166
(202) 545-0935
(202) 545-0934
Mailing address
1818 NEW YORK AVE NE STE 110, WASHINGTON, DC 20002-1849
(202) 489-0615
(202) 545-0934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/21/2012
Last updated
06/13/2023
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