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Individual
PELAGIE NINA NZUAZON AZANBOU
Active
Individual
PELAGIE NINA NZUAZON AZANBOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
HHA11649
DC
374U00000X
Home Health Aide
Primary
HHA11649
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA11649
HHA
DC
Enumeration date
12/04/2015
Last updated
12/04/2015
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