Individual
SAMUEL D EKOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
5046 CALL PL SE, WASHINGTON, DC 20019-7629
(202) 751-6264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN200005253
DC
374U00000X
Home Health Aide
HHA13417
DC
Other
Enumeration date
09/08/2018
Last updated
02/19/2024
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