Individual
KONDO K. DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 1ST ST NE APT 308, WASHINGTON, DC 20002-4699
(202) 615-1078
Mailing address
PO BOX 92035, WASHINGTON, DC 20090-2035
(202) 615-1078
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
DC
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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