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Individual

CHAWCHANG CHOKUWANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5601 13 TH STREET NW #323, WASHINGTON, DC 20011-3564
(240) 374-2846
Mailing address
5601 13TH ST NW APT 323, WASHINGTON, DC 20011-3564
(240) 374-2846

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11404
DC

Other

Enumeration date
07/06/2015
Last updated
07/06/2015
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