Individual
SAMUEL MOBANGO EBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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