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1497275499
PRUDENCIA W BANTAH
WASHINGTON, DC
NPI
1497275499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-06-21
Last Update Date
2022-07-21
Business Address
PRUDENCIA W BANTAH
6323 GEORGIA AVE NW 106
WASHINGTON, DC 20011
Phone number: 202-506-1209
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Mailing Address
PRUDENCIA W BANTAH
6323 GEORGIA AVE NW # 106
WASHINGTON, DC 20011-1101
Phone number: 202-506-1209
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