Individual
LADIFATOU MALANE PEMPEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MLK JR AVE SW, WASHINGTON, DC 20032-4933
(202) 318-0179
Mailing address
1914 WILSON LN APT 104, MC LEAN, VA 22102-4715
(301) 549-0693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
07/27/2023
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