Individual
GODSON MBAH AGWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 DUBOIS PL SE, WASHINGTON, DC 20019-2479
(202) 378-3083
Mailing address
3301 DUBOIS PL SE, WASHINGTON, DC 20019-2479
(202) 378-3083
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15213
DC
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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