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Individual

GILLINE KOUAYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
721 48TH ST NE, WASHINGTON, DC 20019-3607
(202) 541-9844
Mailing address
6436 BRIGHTLEA DR, LANHAM, MD 20706-2850
(240) 646-2109

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00134641
MD

Other

Enumeration date
07/12/2022
Last updated
07/12/2022
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