UNKNOWN DECLAN NDIBNU

WASHINGTON, DC
NPI1922793173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2023-04-05
Last Update Date2023-08-01
Business Address
UNKNOWN DECLAN NDIBNU
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
Mailing Address
UNKNOWN DECLAN NDIBNU
5435 85TH AVE APT 102
LANHAM, MD 20706-4519
Phone number: 202-600-6962
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