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Individual

ALEXIS HOUNDJE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
713 CHILLUM RD, HYATTSVILLE, MD 20783-3330
(240) 429-2985
Mailing address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 506-1209

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13412
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA13412
DC
Enumeration date
01/18/2018
Last updated
01/18/2018
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