Individual
SORELLE CLAIRE MATENE TAKOUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8506
Mailing address
8220 LONDONDERRY CT, LAUREL, MD 20707-5624
(347) 739-4728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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