Individual
CLEMENT MBANEFO EFOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
810 5TH ST NW, WASHINGTON, DC 20001-2622
(202) 733-5378
Mailing address
11304 SPRINGPARK CT, GLENN DALE, MD 20769-9611
(301) 464-3787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R240326
MD
Other
Enumeration date
10/10/2019
Last updated
08/14/2023
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