Individual
EUGENE UFON MBACHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL PROVIDER
Contact information
Practice address
1039 BLADENSBURG RD NE, WASHINGTON, DC 20002-2922
(202) 507-8139
Mailing address
7810 DOGUE INDIAN CIR, LORTON, VA 22079-2145
(571) 494-0355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NA
VA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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