Individual
ANNIE POUGOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
8401 HARRON VALLEY CT, GAITHERSBURG, MD 20886-4917
(240) 437-7055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1062611
DC
374U00000X
Home Health Aide
HHA9663
DC
Other
Enumeration date
10/21/2014
Last updated
08/13/2025
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