Alexis Alfred Misse Ndocko
Community Health Worker in Takoma Park, MD. Individual provider (NPI-1).
NPI number1104635598
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1104635598
- Entity type
- Individual (NPI-1)
- Name
- Alexis Alfred Misse Ndocko
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 31, 2024
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
7600 Maple Ave Apt 902Takoma Park, MD 20912-5552
Phone 786-645-9399
Mailing address
7600 Maple Ave Apt 902Takoma Park, MD 20912-5552
Phone 786-645-9399
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All 7 Community Health Worker providers in Takoma Park · All 1,171 providers in Takoma Park
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