Individual
RAPHEAL KOBIE NWANCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE STE 110, WASHINGTON, DC 20002-1849
(202) 867-7354
Mailing address
13405 GWYNN PARK CT, BRANDYWINE, MD 20613-5804
(202) 867-7354
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/02/2023
Last updated
06/13/2023
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