Individual
MR. ROGER MAGBOO BRUCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, SUITE 6-B, WASHINGTON, DC 20037-3201
(202) 741-3243
Mailing address
2150 PENNSYLVANIA AVE NW, SUITE-6B, WASHINGTON, DC 20037-3201
(202) 741-3243
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1004515
DC
Other
Enumeration date
07/17/2015
Last updated
06/20/2024
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