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Individual

MR. IVES EYONGETA BISONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6731 NEW HAMPSHIRE AVE, APT 201, TAKOMA PARK, MD 20912-4863
(234) 521-1957
Mailing address
7600 GEORGIA AVE NW STE 323, WASHINGTON, DC 20012-1616
(202) 723-3060

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2367
DC
374U00000X
Home Health Aide

Other

Enumeration date
12/09/2012
Last updated
10/16/2018
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