Individual
LESLY TEKE AGWENJANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 QUINCY STREET, APT B2, BLANDESBURG, MD 20784
(202) 705-4827
Mailing address
5201 QUINCY ST APT B2, BLADENSBURG, MD 20710-2331
(202) 705-4827
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13933
DC
Other
Enumeration date
08/30/2018
Last updated
09/06/2018
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