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Edouard Azobou

Home Health Aide in Hyattsville, MD. Individual provider (NPI-1).

NPI number1124774401
StatusActive
Last updated in NPPESFeb 25, 2022

Details

NPI
1124774401
Entity type
Individual (NPI-1)
Name
Edouard Azobou
Sex
Male
Sole proprietor
No
Enumeration date
Feb 25, 2022
Certification date
Feb 25, 2022
Last updated
Feb 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

7707 Willow Hill Dr
Hyattsville, MD 20785-4685

Phone 240-758-8378

Mailing address

7707 Willow Hill Dr
Hyattsville, MD 20785-4685

Phone 240-758-8378

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