Individual
MICAILLE FLORE MAWAMBA KEUBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6811 RIGGS MANOR DR, APT 302, HYATTSVILLE, MD 20783-2943
(240) 470-9158
Mailing address
6811 RIGGS MANOR DR, APT 302, HYATTSVILLE, MD 20783-2943
(240) 470-9158
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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