Individual
NAD AYIMELE TIABOU EPSE DONGMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8106 GORMAN AVE APT 324, LAUREL, MD 20707-2544
(202) 509-5842
Mailing address
8106 GORMAN AVE APT 324, LAUREL, MD 20707-2544
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14455
DC
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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