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Individual

ASH LEN GABILA NZIE NEBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-4933
(202) 525-5222
Mailing address
9793 MOUNTAIN LAUREL WAY APT 2B, LAUREL, MD 20723-6337
(654) 065-6116

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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