Individual
MELISSA KOUATCHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 N ST NW APT 610, WASHINGTON, DC 20005-5219
(202) 415-6319
Mailing address
9727 MOUNT PISGAH RD APT 1002, SILVER SPRING, MD 20903-2027
(781) 219-8747
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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