Willy Poungoum
Home Health Aide in Washington, DC. Individual provider (NPI-1).
NPI number1679830004
StatusActive
Last updated in NPPESNov 20, 2012
Details
- NPI
- 1679830004
- Entity type
- Individual (NPI-1)
- Name
- Willy Poungoum
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2012
- Last updated
- Nov 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1731 Bunker Hill Rd NeWashington, DC 20017-3026
Phone 202-832-4400
Mailing address
1731 Bunker Hill Rd NeWashington, DC 20017-3026
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