| D&d Healthcare Llc | |
|
4503 Grant St Ne Washington DC 20019-4724 | |
| (304) 208-2908 | |
| Not Available |
| Full Name | D&d Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4503 Grant St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Joelle Danielle Mahaga Kamdem (OWNER) |
| Authorized Official Contact | 3042082908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D&d Healthcare Llc 4503 Grant St Ne Washington DC 20019-4724 Ph: (304) 208-2908 | D&d Healthcare Llc 4503 Grant St Ne Washington DC 20019-4724 Ph: (304) 208-2908 |
| NPI Number | 1164261517 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 6507309754 |
|---|---|
| Medicare Enrollment ID | O20240617002400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164261517 | NPI | - | NPPES |
| Provider Name | Patricia Mukum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285373670 PECOS PAC ID: 0749651891 Enrollment ID: I20230127000563 |
| Provider Name | Promise Ngongwashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815802 PECOS PAC ID: 7618410879 Enrollment ID: I20240617002700 |
| Provider Name | Kandice Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417715897 PECOS PAC ID: 0749723567 Enrollment ID: I20240621001543 |
| Provider Name | Juliet Ngum Ngomanji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033471891 PECOS PAC ID: 4789128000 Enrollment ID: I20240627002928 |
| Provider Name | Whitney Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881889772 PECOS PAC ID: 1759826290 Enrollment ID: I20240709003341 |
| Provider Name | Adrienne Femnou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407204332 PECOS PAC ID: 2163953449 Enrollment ID: I20240927002179 |
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