Individual
GAETTAN BAWOUNKEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 METZEROTT RD APT 26, ADELPHI, MD 20783-5134
(240) 470-2658
Mailing address
7841 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4023
(240) 470-2658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA13867
DC
Other
Enumeration date
08/31/2018
Last updated
07/26/2023
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