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Individual

MOKONNEN B WOBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HHA

Contact information

Practice address
4422 7TH ST NE, WASHINGTON, DC 20017-2207
(202) 527-2959
Mailing address
3925 GEORGIA AVE NW, WASHINGTON, DC 20011-5860
(202) 527-2959

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
CAPTH1153
DC

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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