Individual
MR. AHLONKO KOUASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
10153 CAMPUS WAY S, UPPER MARLBORO, MD 20774-2105
(301) 404-3178
Mailing address
10153 CAMPUS WAY S, UPPER MARLBORO, MD 20774-2105
(301) 404-3178
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA8126
DC
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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