Individual
MR. NKENGNANAG ELVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BASS CIR SE APT 2, WASHINGTON, DC 20019-5136
(202) 848-9847
Mailing address
4511 2ND ST NE APT 103, WASHINGTON, DC 20011-4968
(202) 415-2482
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4136527
DC DRIVERS LICENSE
DC
Enumeration date
12/11/2018
Last updated
12/11/2018
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