Individual
LARISSE TIENTCHEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 I ST NE APT 3, WASHINGTON, DC 20002-3243
(202) 549-4258
Mailing address
2107 I ST NE APT 3, WASHINGTON, DC 20002-3243
(202) 549-4258
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12979
DC
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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