Individual
IRENE CATHY GODEM MBOUGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 21ST ST NE APT 105, WASHINGTON, DC 20002-3160
(202) 375-9077
Mailing address
1114 21ST ST NE APT 105, WASHINGTON, DC 20002-3160
(202) 375-9077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15030
DC
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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