Individual
EMMANUEL RENE KIEGUING KOUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 867-3789
Mailing address
3534 CASTLE HILL DR, WOODBRIDGE, VA 22193-5324
(202) 867-3789
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
VA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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