Individual
IDAH NANSAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 GOOD HOPE RD SE, WASHINGTON, DC 20020-5615
(240) 264-7547
Mailing address
522 RUTGERS ST, ROCKVILLE, MD 20850-1114
(240) 264-7547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
11/20/2024
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