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Individual

LYLIE TECLAIRE TCHOKOTE HAPPI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13842 CASTLE BLVD, SILVER SPRING, MD 20904-7387
(240) 486-8661
Mailing address
13842 CASTLE BLVD, SILVER SPRING, MD 20904-7387
(240) 486-8661

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA14627
DC
Enumeration date
09/11/2020
Last updated
09/11/2020
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