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Individual

JEAN MBOUWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
817 VARNUM ST NE STE 241, WASHINGTON, DC 20017-2144
(202) 526-2400
Mailing address
23 RIGGS RD NE, WASHINGTON, DC 20011-2461
(240) 640-3838

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/08/2012
Last updated
07/26/2023
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