Individual
EMMANUEL MOUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
8821 ALLISTON HOLLOW WAY, GAITHERSBURG, MD 20879-1661
(301) 728-0372
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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