Individual
MR. ANGWANANDE AMBOMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
Mailing address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA200005894
DC
Other
Enumeration date
03/21/2023
Last updated
05/06/2026
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