Individual
CHANTAL ASSEN A NSAN EPSE POUAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 HERRINGTON DR, UPPER MARLBORO, MD 20774-1506
(202) 446-9653
Mailing address
76 HERRINGTON DR, UPPER MARLBORO, MD 20774-1506
(202) 446-9653
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MD
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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