Individual
JEAN MARIE NGOUNOU YOUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 THAYER AVE APT 201, SILVER SPRING, MD 20910-4568
(202) 499-9403
Mailing address
814 THAYER AVE APT 201, SILVER SPRING, MD 20910-4568
(202) 499-9403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/02/2023
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