Individual
NADIA MARIBEL RENGIFO MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2426 19TH ST NW APT 102, WASHINGTON, DC 20009-1549
(202) 560-0339
Mailing address
2426 19TH ST NW APT 102, WASHINGTON, DC 20009-1549
(202) 560-0339
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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