Individual
GUILLAUME KOUMKANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7863 RIVERDALE RD APT T2, NEW CARROLLTON, MD 20784-4032
(240) 413-6947
Mailing address
7863 RIVERDALE RD APT T2, NEW CARROLLTON, MD 20784-4032
(240) 413-6947
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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