Individual
GEORGETTE KAYO KWOKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5613 14TH ST NW, WASHINGTON, DC 20011-6803
(202) 577-3044
Mailing address
5613 14TH ST NW, WASHINGTON, DC 20011-6803
(202) 577-3044
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2547497
DC
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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