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Individual

BIGSUNA VICTORINE DOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
3305 DODGE PARK RD APT 201, HYATTSVILLE, MD 20785-2108
(763) 670-4764

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00134011
MD

Other

Enumeration date
10/19/2020
Last updated
10/19/2020
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