Individual
JULES WATONG KOUONANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(202) 894-6811
Mailing address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(202) 894-6811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
1235674
MD
405300000X
Prevention Professional
1234567
MD
Other
Enumeration date
12/04/2023
Last updated
01/15/2025
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