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Urla Blanca Ivaha Idjongoled

NPI 1962163311 · on the registry since 2022 · sole proprietor

Practice

Address
721 48th St Ne
Washington, DC 20019
Phone
(202) 541-9844
Fax
(202) 541-9845
Clinicians at this address
17

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-07

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