Individual
AIDORAH TOUECHE MBOUYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-6945
(908) 404-0570
Mailing address
7401 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-6945
(908) 404-0570
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA200001308
—
DC
Enumeration date
02/10/2022
Last updated
02/10/2022
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