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Nad Ayimele Tiabou Epse Dongmo

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

NPI number1962060947
StatusActive
Last updated in NPPESJun 4, 2019

Details

NPI
1962060947
Entity type
Individual (NPI-1)
Name
Nad Ayimele Tiabou Epse Dongmo
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2019
Last updated
Jun 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health AideHHA14455DCYes

Practice location

8106 Gorman Ave Apt 324
Laurel, MD 20707-2544

Phone 202-509-5842

Mailing address

8106 Gorman Ave Apt 324
Laurel, MD 20707-2544

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