Individual
FNU DORIS NGWE EPSE MOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(202) 733-4904
Mailing address
10607 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1317
(144) 382-0530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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