Most Relevant Information
Provider Data
| NPI Number: | 1003575077 |
| Provider Name: | ETAKA LABULE |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | A00194943 |
Most Important Dates
| Enumeration Date: | 12/16/2021 |
| Last Updated: | 12/17/2021 |
Provider Practice Location
7600 GEORGIA AVE NW STE 323
WASHINGTON
DC
200121616
Practice Location Phone/Fax
| Phone: | 2027233060 |
| Fax: |
Provider Mailing Location
7600 GEORGIA AVE NW STE 323
WASHINGTON
DC
200121616
Provider Mailing Phone/Fax
| Phone: | 2027233060 |
| Fax: |