Individual
EVELYNE K. MANTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023017717
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/05/2012
Last updated
08/29/2025
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