Healthcare Provider Details

I. General information

NPI: 1003794868
Provider Name (Legal Business Name): CLUVIS AMINDE ESESEH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6804 SEAT PLEASANT DR APT 303
CAPITOL HEIGHTS MD
20743-2473
US

IV. Provider business mailing address

6804 SEAT PLEASANT DR APT 303
CAPITOL HEIGHTS MD
20743-2473
US

V. Phone/Fax

Practice location:
  • Phone: 202-389-8747
  • Fax:
Mailing address:
  • Phone: 202-389-8747
  • 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: