Individual
KING GODI EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2728 LANGSTON PL SE, 302, WASHINGTON, DC 20020-3204
(202) 556-5745
Mailing address
2728 LANGSTON PL SE, 302, WASHINGTON, DC 20020-3204
(202) 556-5745
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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