Individual
MICHELLE KOUAMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1819 STALEY MANOR DR, SILVER SPRING, MD 20904-1564
(202) 904-9452
(202) 545-0934
Mailing address
1819 STALEY MANOR DR, SILVER SPRING, MD 20904-1564
(202) 904-9452
(202) 545-0934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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