Individual
MISS IRENE NKOMBOT ASSOUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
9737 MOUNT PISGAH RD APT 1604, SILVER SPRING, MD 20903-2040
(240) 476-9902
Mailing address
9737 MOUNT PISGAH RD APT 1604, SILVER SPRING, MD 20903-2040
(240) 476-9902
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14994
DC
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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