Individual
JEDDIDAH NAMONDO EBAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 506-1209
Mailing address
11441 CHERRY HILL RD APT 304, BELTSVILLE, MD 20705-3642
(617) 953-7052
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13294
DC
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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