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Individual
WALIME KOUFAM
Active
Individual
WALIME KOUFAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
HHA14310
DC
374U00000X
Home Health Aide
HHA14310
DC
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA14310
DEPARTMENT OF HEALTH
DC
01
—
HHA14310
HHA
—
Enumeration date
05/01/2019
Last updated
05/01/2019
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