Individual
KOUDZO SENYO AMETOWOSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 NICHOLSON ST APT 202, HYATTSVILLE, MD 20782-2658
(202) 813-5205
Mailing address
2631 NICHOLSON ST APT 202, HYATTSVILLE, MD 20782-2658
(202) 813-5205
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003591
DC
Other
Enumeration date
03/28/2024
Last updated
11/05/2025
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