Individual
KENNI ELEONORE-NADEGE TCHOUMGOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 LOCKWOOD DR, SILVER SPRING, MD 20901-4551
(240) 274-5047
Mailing address
11200 LOCKWOOD DR, SILVER SPRING, MD 20901-4551
(240) 274-5047
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
07/18/2012
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