Individual
ELISE TCHAMGA EPSE KONCHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 QUACKENBOS ST NE, WASHINGTON, DC 20011-1652
(202) 725-0458
Mailing address
240 QUACKENBOS ST NE, WASHINGTON, DC 20011-1652
(202) 725-0458
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNA20213412
—
MD
Enumeration date
08/31/2021
Last updated
09/23/2021
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