Individual
JENNY ROSTANT MBOGNE SIGNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5561 CHILLUM PL NE, WASHINGTON, DC 20011-6204
(202) 981-0376
Mailing address
5561 CHILLUM PL NE, WASHINGTON, DC 20011-6204
(202) 981-0376
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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