Individual
MS. MENO MAZEMDA KOUAKEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 S HAYES ST, ARLINGTON, VA 22202-2700
(757) 292-9094
Mailing address
4007 1ST ST SW, WASHINGTON, DC 20032-1304
(757) 292-9094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173643
PA
363LF0000X
Family Nurse Practitioner
Primary
0024173643
VA
Other
Enumeration date
06/22/2016
Last updated
07/22/2016
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