Individual
EPIFANIE L DJIAKOU MAMBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
Mailing address
2007 MARYLAND AVE NE APT 109, WASHINGTON, DC 20002-3121
(240) 481-1826
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002091
DC
Other
Enumeration date
10/25/2022
Last updated
10/26/2022
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