Healthcare Provider Details

I. General information

NPI: 1366966541
Provider Name (Legal Business Name): PASCALINE DEUTCHOUA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 09/11/2025
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 KENNEDY ST NW
WASHINGTON DC
20011-2913
US

IV. Provider business mailing address

2600 BRYAN PL SE
WASHINGTON DC
20020-4417
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-1725
  • Fax:
Mailing address:
  • Phone: 301-221-0375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA11886
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: