MBALU WATAH FOFANAH

WASHINGTON, DC
NPI1538869417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-03-08
Last Update Date2023-09-12
Business Address
Miss MBALU WATAH FOFANAH CSW
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
Mailing Address
Miss MBALU WATAH FOFANAH CSW
9000 MANCHESTER RD APT 22
SILVER SPRING, MD 20901-4124
Phone number: 240-486-4237