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1811673841
MODESTE MBAMBA
WASHINGTON, DC
NPI
1811673841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2023-06-26
Last Update Date
2023-07-21
Business Address
MODESTE MBAMBA
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
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Mailing Address
MODESTE MBAMBA
2408 HENSON VALLEY WAY
FORT WASHINGTON, MD 20744-3327
Phone number: 240-413-8913
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