GHOUTUM BONGKISHIY KONGNYINGON

WASHINGTON, DC
NPI1740071380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2025-05-14
Last Update Date2025-05-23
Business Address
Mr. GHOUTUM BONGKISHIY KONGNYINGON
1445 HOWARD RD SE
WASHINGTON, DC 20020-4406
Phone number: 202-894-6811
Mailing Address
Mr. GHOUTUM BONGKISHIY KONGNYINGON
1445 HOWARD RD SE
WASHINGTON, DC 20020-4406
Phone number:
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