Individual
ANNI M AMBOMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1729
DC
Other
Enumeration date
07/06/2012
Last updated
05/10/2018
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