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Ide Afi Ogoudedji

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

NPI number1982115440
StatusActive
Last updated in NPPESOct 23, 2017

Details

NPI
1982115440
Entity type
Individual (NPI-1)
Name
Ide Afi Ogoudedji
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2017
Last updated
Oct 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health AideHHA13209DCYes

Practice location

6731 New Hampshire Ave Apt 512
Takoma Park, MD 20912-2804

Phone 240-429-1104

Mailing address

6731 New Hampshire Ave,apt 512
Takoma Park, MD 20912

Phone 240-429-1104

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