Individual
EVELYNE TCHOKOCHOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(301) 996-4630
Mailing address
52 ALDWORTH ST, PORTLAND, ME 04103-1233
(301) 996-7463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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