Individual
HERCELLE ELODIE KENMEUGNI DOMCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4826 FORT TOTTEN DR NE APT 2, WASHINGTON, DC 20011-7556
(202) 415-1202
Mailing address
4826 FORT TOTTEN DR NE APT 2, WASHINGTON, DC 20011-7556
(202) 415-1202
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
200004706
DC
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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