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Individual

UNKNOWN JUDITH NGU NAH EPSE MOMBALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 489-0615
Mailing address
2019 LEWISDALE DR, HYATTSVILLE, MD 20783-4917
(202) 666-3088

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/28/2024
Last updated
05/28/2024
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