Individual
GISEL MADJOUO SOB EPSE WONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 JEFFERSON ST NW, WASHINGTON, DC 20011-7720
(202) 644-0345
Mailing address
716 JEFFERSON ST NW, WASHINGTON, DC 20011-7720
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14389
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4440692
—
DC
Enumeration date
08/06/2019
Last updated
08/06/2019
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