Individual
KEHBILA EVONCE BAYUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1480 GOOD HOPE RD SE, WASHINGTON, DC 20020-5615
(202) 558-2448
(202) 204-5758
Mailing address
5021 TOWNSEND WAY APT C3, BLADENSBURG, MD 20710-1880
(240) 330-3547
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1055857
DC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/02/2012
Last updated
09/28/2024
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