Individual
MARCELLE RABIATOU PETSOUONKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5003 47TH AVE, HYATTSVILLE, MD 20781-2318
(202) 594-6307
Mailing address
5003 47TH AVE, HYATTSVILLE, MD 20781-2318
(202) 594-6307
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13479
DC
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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