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Individual

WILLIAM NKONGHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
11512 TRILLUM ST, BOWIE, MD 20721-2285
(215) 980-1624

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
Primary
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA200002550
DC
Enumeration date
12/16/2022
Last updated
03/20/2026
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