Individual
DORETTE LAURE YOUGAING KOUAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6733 NEW HAMPSHIRE AVE APT 612, TAKOMA PARK, MD 20912-2850
(202) 294-8780
Mailing address
6733 NEW HAMPSHIRE AVE APT 612, TAKOMA PARK, MD 20912-2850
(202) 294-8780
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13252
DC
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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