Individual
NELLY POUATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5979
(469) 937-0111
Mailing address
790 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5979
(469) 937-0111
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005731
DC
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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