Individual
IDRISS DJOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 MAPLE AVE, APT 310, TAKOMA PARK, MD 20912-5571
(202) 569-9854
Mailing address
7600 MAPLE AVE, APT 310, TAKOMA PARK, MD 20912-5571
(202) 569-9854
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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