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Individual

MRS. ANGELINE OUABO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1417 SHIPPEN LN SE, WASHINGTON, DC 20020-2902
(202) 210-5255
Mailing address
1417 SHIPPEN LN SE, WASHINGTON, DC 20020-2902
(202) 210-5255

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2345850

Other

Enumeration date
05/17/2012
Last updated
05/17/2012
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