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1003458969
SULLIZ NKWOMBOH EDEITY
WASHINGTON, DC
NPI
1003458969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14419)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
SULLIZ NKWOMBOH EDEITY
845 21ST ST NE
WASHINGTON, DC 20002-4168
Phone number: 240-486-7890
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Mailing Address
SULLIZ NKWOMBOH EDEITY
2320 BROOKE GROVE RD
BOWIE, MD 20721-1859
Phone number: 240-548-8100
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