Individual
MAGBUNDEH BOCKAI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 JEFFERSON PL NW, WASHINGTON DC, DC 20036-0000
(202) 293-2931
Mailing address
1822 JEFFERSON PL NW, WASHINGTON DC, DC 20036-0000
(202) 293-2931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1006161
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141873890
—
DC
Enumeration date
05/27/2014
Last updated
05/27/2014
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