Individual
FRED CHRISTOPHE SIMO TCHOUASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 LINDEN AVE APT 202, TAKOMA PARK, MD 20912-6512
(240) 665-8756
Mailing address
1108 LINDEN AVE APT 202, TAKOMA PARK, MD 20912-6512
(240) 665-8756
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13433
DC
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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