Individual
VICTORY EWELISANE LYONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 MARTIN LUTHER KING JR AVE, DC, DC 20003
(202) 809-4055
Mailing address
7802 TALLINN CT, UPPER MARLBORO, MD 20772-4490
(240) 778-7155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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