Individual
CHANTAL KOUAMOU WANDJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8617 ANNAPOLIS RD APT 2, NEW CARROLLTON, MD 20784-3103
(410) 565-2988
Mailing address
8617 ANNAPOLIS RD APT 2, NEW CARROLLTON, MD 20784-3103
(410) 565-2988
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12663
DC
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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