Individual
POUEYEM WAKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 JEFFERSON ST NW, WASHINGTON, DC 20011-2905
(202) 517-3826
Mailing address
911 JEFFERSON ST NW, WASHINGTON, DC 20011-2905
(202) 517-3826
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
HHA12549
DC
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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