Most Relevant Information
Provider Data
| NPI Number: | 1003457631 |
| Provider Name: | BLANDINE MONJOWA EMMANUELLA MWAMBO |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA14672 |
Most Important Dates
| Enumeration Date: | 10/04/2019 |
| Last Updated: | 10/04/2019 |
Provider Practice Location
7826 EASTERN AVE NW STE LL16
WASHINGTON
DC
200121328
Practice Location Phone/Fax
| Phone: | 2027231100 |
| Fax: |
Provider Mailing Location
3422 DODGE PARK RD APT 203
LANDOVER
MD
207852047
Provider Mailing Phone/Fax
| Phone: | 2408994436 |
| Fax: |