Individual
IDE AFI OGOUDEDJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6731 NEW HAMPSHIRE AVE APT 512, TAKOMA PARK, MD 20912-2804
(240) 429-1104
Mailing address
6731 NEW HAMPSHIRE AVE,APT 512, TAKOMA PARK, MD 20912
(240) 429-1104
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13209
DC
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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