Individual
NICOLE ALVINE KAMMOGNE DOCGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9795 GOOD LUCK RD APT 5, LANHAM, MD 20706-3346
(240) 779-7542
Mailing address
9795 GOOD LUCK RD APT 5, LANHAM, MD 20706-3346
(240) 779-7542
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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