Individual
JAURES KOUGOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9325 4TH ST, LANHAM, MD 20706
(301) 454-9757
Mailing address
3817 64TH AVE, LANDOVER HILLS, MD 20784-1824
(301) 454-9757
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
07/17/2018
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