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NPI Code Detail

MEDICARE: VIVIANE GHOMSI

MEDICARE: VIVIANE GHOMSI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA12912DC

General Provider Information

NPI Number : 1053837625
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIANE GHOMSI
Provider Business Mailing Address
First Line : 4826 FORT TOTTEN DR NE APT 2
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-7556
Country : US
Telephone Number : 240-491-7896
Fax Number :
Provider Business Practice Location Address
First Line : 4826 FORT TOTTEN DR NE APT 2
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-7556
Country : US
Telephone Number : 240-491-7896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 07/21/2022

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Directions to “ VIVIANE GHOMSI ” Practice Location

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