Individual
CAROLE MOUKOUDI NDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 ELM GROVE CIR, SILVER SPRING, MD 20905-6059
(240) 595-9250
Mailing address
1402 ELM GROVE CIR, SILVER SPRING, MD 20905-6059
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11246
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA11246
DEPARTMENT OF HEALTH
DC
Enumeration date
07/12/2016
Last updated
07/12/2016
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