Individual
KOUMTOUDJI NDUBI LAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 L ST NW STE 900, WASHINGTON, DC 20036-4208
(202) 829-1111
Mailing address
1707 L ST NW STE 900, WASHINGTON, DC 20036-4208
(202) 829-1111
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12110
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA12110
—
DC
Enumeration date
06/10/2016
Last updated
03/19/2018
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