Individual
DJENABOU CISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2652 MARTIN LUTHER KING JR AVE SE APT B9, WASHINGTON, DC 20020
(999) 999-9999
Mailing address
1917 BLADENSBURG RD NE # 419, WASHINGTON, DC 20002-1811
(301) 222-3185
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13700
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA13700
HOME HEALTH AIDE
DC
Enumeration date
06/12/2018
Last updated
06/28/2018
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