Individual
DOMINIC NKONGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
109 WALDON RD APT E, ABINGDON, MD 21009-2125
(410) 805-6619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/29/2023
Last updated
08/17/2023
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