Individual
YASMINE AMIBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2642 12TH ST NE, WASHINGTON, DC 20018-1737
(202) 269-1619
(202) 683-6739
Mailing address
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-4933
(202) 318-0179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
09/18/2024
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