Individual
MR. LESLIE MONDEA NKONGANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018
(202) 883-8340
(202) 832-8341
Mailing address
10917 SPYGLASS HL, BOWIE, MD 20721-2342
(240) 559-6604
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13726
DC
Other
Enumeration date
06/26/2018
Last updated
07/11/2018
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