Individual
KELLY VANESSA KOUNTE FOKOU EPSE SIEMADJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 SOUTHAMPTON DR, SILVER SPRING, MD 20903-2626
(240) 470-4767
Mailing address
307 SOUTHAMPTON DR, SILVER SPRING, MD 20903-2626
(240) 470-4767
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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