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Search › District of Columbia › 374U00000X

Prudencia Bantah

NPI 1497275499 · on the registry since 2017

Practice

Address
6323 Georgia Ave Nw
106
Washington, DC 20011
Phone
(202) 506-1209
Fax
(202) 506-1348
Organisation at this address
Pof Inc
Mocam Inc
Affinity Health
Ode Medical Llc
Phamily Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
165

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia