Individual
MBAWA MONDEH JUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6104 BREEZEWOOD DR APT 203, GREENBELT, MD 20770-4158
(240) 467-8408
Mailing address
6323 GEORGIA AVE NW STE 305, WASHINGTON, DC 20011-1141
(301) 434-3503
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA20001211
DC
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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