Individual
WAMBUI MBOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8766
(202) 444-7804
Mailing address
15204 OMEGA DR STE 240, ROCKVILLE, MD 20850-4841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024178879
VA
363LF0000X
Family Nurse Practitioner
0024178879
VA
363LF0000X
Family Nurse Practitioner
Primary
NP1034480
DC
Other
Enumeration date
04/24/2021
Last updated
05/12/2022
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