Kemeyalo Hesouwe Potcho
Home Health Aide in Washington, DC. Individual provider (NPI-1).
NPI number1295329068
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1295329068
- Entity type
- Individual (NPI-1)
- Name
- Kemeyalo Hesouwe Potcho
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2021
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
2101 I St NeWashington, DC 20002-3240
Phone 202-840-4686
Mailing address
2101 I St NeWashington, DC 20002-3240
Phone 202-840-4686
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