Individual
MISS PAULINA GODFREY KIBANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 KENNEDY ST NW, WASHINGTON, DC 20011-3136
(515) 771-0054
Mailing address
7200 ALDEN WAY APT 2026, HANOVER, MD 21076-2371
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2013
Last updated
06/29/2023
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