Healthcare Provider Details

I. General information

NPI: 1851646384
Provider Name (Legal Business Name): FATOUMATA CONDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 07/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE 228
WASHINGTON DC
20002
US

IV. Provider business mailing address

1818 NEW YORK AVE NE 228
WASHINGTON DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 202-832-8340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: