ISHMAIL SIDDRA MANSARAY

WASHINGTON, DC
NPI1306549357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2023-03-27
Last Update Date2023-07-27
Business Address
ISHMAIL SIDDRA MANSARAY
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
Mailing Address
ISHMAIL SIDDRA MANSARAY
2807 WINTERBOURNE DR
UPPER MARLBORO, MD 20774-9100
Phone number: 240-606-3519
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