Individual
TCHE NWI MANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 489-0615
Mailing address
12027 SWALLOW FALLS CT, SILVER SPRING, MD 20904-7814
(617) 447-9248
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
09/24/2024
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