Individual
MARCELLE A WANDJI FANDIO MBAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1707 L ST NW, SUITE 900, WASHINGTON, DC 20036-4201
(202) 829-1111
Mailing address
1707 L ST NW, SUITE 900, WASHINGTON, DC 20036-4201
(301) 272-1973
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006917
DC
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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