GWANGWA FAGHA THOMAS BRAINE

WASHINGTON, DC
NPI1639907959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-07-26
Last Update Date2024-07-26
Business Address
GWANGWA FAGHA THOMAS BRAINE
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number: 301-674-1699
Mailing Address
GWANGWA FAGHA THOMAS BRAINE
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number:
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