Individual
MATIDIAN AGWECK AGWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 L ST NW STE 900, WASHINGTON, DC 20036-4208
(240) 487-8139
Mailing address
1707 L ST NW, SUITE 900, WASHINGTON, DC 20036
(202) 829-1111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500339332
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/20/2015
Last updated
12/03/2025
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