Individual
AMANI N KOUADIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 CHILLUM RD APT 102, HYATTSVILLE, MD 20783-6373
(202) 341-5322
Mailing address
721 CHILLUM RD APT 102, HYATTSVILLE, MD 20783-6373
(202) 341-5322
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00192461
—
MD
Enumeration date
03/12/2021
Last updated
03/12/2021
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