Individual
UNKNOWN PRINCE HENOLI AMBE JUNIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
3301 KYLE CT, WINDSOR MILL, MD 21244-3620
(202) 631-8507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
DC
Other
Enumeration date
02/15/2024
Last updated
09/11/2025
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