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Individual

JEAN NOUKETCHA NSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11215 OAK LEAF DR APT 1802, SILVER SPRING, MD 20901-1381
(240) 877-5473
Mailing address
11215 OAK LEAF DR APT 1802, SILVER SPRING, MD 20901-1381
(240) 877-5473

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MD

Other

Enumeration date
11/13/2021
Last updated
11/13/2021
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