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Individual

DUCLOS TCHOUATAT KEUSSEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 388-4300
Mailing address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide

Other

Enumeration date
12/28/2011
Last updated
10/18/2023
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