Individual
URLA BLANCA IVAHA IDJONGOLED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 48TH ST NE, WASHINGTON, DC 20019-3607
(202) 541-9844
(202) 541-9845
Mailing address
3509 AMES ST NE APT 103, WASHINGTON, DC 20019-2561
(202) 415-2841
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000811721
DC
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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