Individual
JACQUES VANEL SIEWE MBOUWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3508 COMMODORE JOSHUA BARNEY DRIVE N.E, APT #T3, WASHINGTON, DC 20018
(202) 290-9578
Mailing address
3508 COMMODORE JOSHUA BARNEY DR NE APT T3, WASHINGTON, DC 20018-4409
(202) 290-9578
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12937
DC
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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