Individual
PRISCO A NTENDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 KENNEDY ST NW, WASHINGTON, DC 20011-2913
(202) 722-1725
Mailing address
139 BLANDESBURG RD, NE, WASHINGTON, DC 20018
(571) 359-9992
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
07/24/2023
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