Individual
BERLIN IVAN BETNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6650 GEORGIA AVE NW APT 302, WASHINGTON, DC 20012-2546
(202) 361-4556
Mailing address
6650 GEORGIA AVE NW APT 302, WASHINGTON, DC 20012-2546
(202) 361-4556
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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