Individual
DIVINE PROWO AWAHMUKALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
1420 K SREET 7TH FLOOR, ASAP SERVICES CORPORATION, WASHINGTON, DC 20005
(202) 293-2931
(202) 293-3480
Mailing address
5819 CHERRYWOOD LN APT 301, GREENBELT, MD 20770-4225
(302) 898-6638
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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