PRUDENCIA ESAMAKA BANENI EPSE DIVINE

Technician - Attendant Care Provider

Active Individual
NPI: 1336854330

Practice Address

1150 12TH ST NW
Washington, DC 20005

Phone: (202) 813-3421

Specialties

Specialty Code Primary License
Technician - Attendant Care Provider 3747A0650X Yes -

Frequently Asked Questions

NPI 1336854330 is the National Provider Identifier for PRUDENCIA ESAMAKA BANENI EPSE DIVINE, a Technician - Attendant Care Provider provider located in Washington, DC. This NPI was enumerated on January 16, 2023.
PRUDENCIA ESAMAKA BANENI EPSE DIVINE practices at 1150 12TH ST NW, Washington, DC 20005.

Quick Facts

NPI
1336854330
Type
Individual
Enumerated
Jan 16, 2023
Last Updated
Jan 16, 2023

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