Individual
THERESE KUKU ETENGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
(202) 529-6570
Mailing address
900 PORTER CT NE, WASHINGTON, DC 20019-7000
(202) 807-7501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500015949
DC
374U00000X
Home Health Aide
HHA15227
DC
Other
Enumeration date
03/04/2020
Last updated
02/12/2025
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