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NPI Code Detail

MEDICARE: MARTIN NDEMELABIM MBUNA

MEDICARE: MARTIN NDEMELABIM MBUNA
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
1172V00000XCommunity Health Worker
2374U00000XHome Health Aide

General Provider Information

NPI Number : 1700140076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN NDEMELABIM MBUNA
Provider Business Mailing Address
First Line : 702 15TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-4508
Country : US
Telephone Number : 202-388-8500
Fax Number :
Provider Business Practice Location Address
First Line : 702 15TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-4508
Country : US
Telephone Number : 202-388-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2012
Last Update Date : 04/18/2024

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Directions to “ MARTIN NDEMELABIM MBUNA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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