Individual
LIDWINE GAELLE NGOUPEYOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(309) 613-5674
Mailing address
36 JOYCETON WAY, UPPER MARLBORO, MD 20774-1327
(309) 613-5674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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