Individual
IVAN CLAUDIO AMBA BOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
734 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5953
(202) 853-8780
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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