Individual
MR. LOUIS COLEMAN MUNGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 CHAPLIN ST SE APT 201, WASHINGTON, DC 20019-4276
(202) 285-5517
Mailing address
2319 TIMBERCREST DR, FORESTVILLE, MD 20747-3773
(240) 481-6957
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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