DIVINE PROWO AWAHMUKALAH

WASHINGTON, DC
NPI1588080535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2014-03-14
Last Update Date2014-03-14
Business Address
-- DIVINE PROWO AWAHMUKALAH PCA
1420 K SREET 7TH FLOOR ASAP SERVICES CORPORATION
WASHINGTON, DC 20005
Phone number: 202-293-2931
Mailing Address
-- DIVINE PROWO AWAHMUKALAH PCA
5819 CHERRYWOOD LN APT 301
GREENBELT, MD 20770-4225
Phone number: 302-898-6638