Individual
CONGLAT MANYI TARH ABBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3811 MINN AVE NE, WASHINGTON, DC 20019-2660
(202) 239-2666
Mailing address
3811 MINN AVE NE, WASHINGTON, DC 20019-2660
(202) 239-2666
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13002
DC
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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