Individual
MAKENNA BAHAMMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PENNSYLVANIA AVE SE STE 201, WASHINGTON, DC 20003-2152
(202) 546-1512
Mailing address
8317 SANDERLING WAY, LORTON, VA 22079-2857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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