Individual
ALEXIS ALFRED MISSE NDOCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 MAPLE AVE APT 902, TAKOMA PARK, MD 20912-5552
(786) 645-9399
Mailing address
7600 MAPLE AVE APT 902, TAKOMA PARK, MD 20912-5552
(786) 645-9399
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
02/04/2025
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