Individual
JESPO MBWOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7826 EASTERN AVE NW STE LL16, WASHINGTON, DC 20012-1328
(301) 379-6734
Mailing address
12041 TWIN CEDAR LN, BOWIE, MD 20715-2066
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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