Individual
ESTELLE MARIE NGO LISSOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 480-1631
Mailing address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 480-1631
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/08/2014
Last updated
06/08/2023
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