Individual
MR. PROSPER TANGO SABEYI AGOUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020 13TH PL NW, APT. 3, WASHINGTON, DC 20011
(240) 850-5032
Mailing address
834 W SIDE DR, GAITHERSBURG, MD 20878
(240) 437-9894
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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