Individual
JACQUES MONGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5911 CHERRYWOOD TER, GREENBELT, MD 20770-3142
(202) 717-4273
Mailing address
5911 CHERRYWOOD TER, GREENBELT, MD 20770-3142
(202) 717-4273
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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