Individual
CAROLINE NGUIEM SOP TIGOUM EPSE MOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
(202) 529-6570
Mailing address
6357 64TH AVE APT E1, RIVERDALE, MD 20737-1501
(240) 484-8077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14482
DC
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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