Individual
PAMELA S GHOGOMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 EASTERN AVE NW STE 320A, WASHINGTON, DC 20012
(202) 541-9844
Mailing address
515 THAYER AVE APT 202, SILVER SPRING, MD 20910-5367
(202) 431-9058
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN961003
DC
Other
Enumeration date
07/02/2018
Last updated
07/11/2018
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