Individual
DOMINIQUE VANNECK TCHUISSEU MOYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6670 GEORGIA AVE NW APT 203, WASHINGTON, DC 20012-2550
(914) 548-4623
Mailing address
6670 GEORGIA AVE NW APT 203, WASHINGTON, DC 20012-2550
(914) 548-4623
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14250
DC
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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