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NPI Code Detail

MEDICARE: MILTON MBWOGGE NGEMESONE HHA

MEDICARE:   MILTON MBWOGGE NGEMESONE  HHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1376987958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILTON MBWOGGE NGEMESONE HHA
Provider Business Mailing Address
First Line : 3634 BEL PRE RD APT 14
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-2608
Country : US
Telephone Number : 202-545-0935
Fax Number : 202-545-0176
Provider Business Practice Location Address
First Line : 3634 BEL PRE RD APT 14
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-2608
Country : US
Telephone Number : 202-545-0935
Fax Number : 202-545-0176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2013
Last Update Date : 04/25/2013

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Directions to “ MILTON MBWOGGE NGEMESONE HHA” Practice Location

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