Individual
DESIREE CLEMENCE DEUTCHOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
11205 LANETTE LN, GLENN DALE, MD 20769-9225
(240) 429-2427
Mailing address
11205 LANETTE LN, GLENN DALE, MD 20769-9225
(240) 429-2427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
RN1057334
DC
171M00000X
Case Manager/Care Coordinator
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/25/2012
Last updated
03/21/2025
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