Individual
AISSATA SOUARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11550 LOCKWOOD DR, SILVER SPRING, MD 20904-2429
(202) 722-1725
Mailing address
11550 LOCKWOOD DR, SILVER SPRING, MD 20904-2429
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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