Individual
MATOU CISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9871 GOOD LUCK RD APT 5, LANHAM, MD 20706-3229
(240) 714-1105
Mailing address
9871 GOOD LUCK RD APT 5, LANHAM, MD 20706-3229
(240) 714-1105
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200001797
DC
376K00000X
Nurse's Aide
Primary
A00172497
MD
Other
Enumeration date
02/16/2022
Last updated
03/02/2026
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