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Individual

ELISE AVIDI NGOULOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5201 CONNECTICUT AVE NW APT 507, WASHINGTON, DC 20015-1859
(202) 866-6958
Mailing address
615 BUCHANAN ST NE, WASHINGTON, DC 20017-2303

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
HHA15356
DC

Other

Enumeration date
08/29/2018
Last updated
09/17/2020
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