Individual
IVIE SORELLE DJAMBOU WASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
Mailing address
1612 BRIGHTSEAT RD, LANDOVER, MD 20785-3764
(240) 764-9154
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11487
DC
Other
Enumeration date
11/05/2015
Last updated
03/17/2018
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