Individual
BENEDICTA V AZONGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
Mailing address
15100 DENNINGTON DR, BOWIE, MD 20721-3257
(301) 404-9059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1016113
DC
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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