Individual
MAHLET WODAJO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 K ST NW UNIT 316, WASHINGTON, DC 20001-2980
(202) 763-2247
Mailing address
43 K ST NW UNIT 316, WASHINGTON, DC 20001-2980
(202) 763-2247
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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