Healthcare Provider Details

I. General information

NPI: 1437792405
Provider Name (Legal Business Name): AFRESH HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6179 EXECUTIVE BLVD
ROCKVILLE MD
20852-3901
US

IV. Provider business mailing address

6179 EXECUTIVE BLVD
ROCKVILLE MD
20852-3901
US

V. Phone/Fax

Practice location:
  • Phone: 240-994-3824
  • Fax: 240-994-3636
Mailing address:
  • Phone: 240-994-3824
  • Fax: 301-994-3636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SYLVIE TCHUINDJO
Title or Position: OWNER
Credential: NP
Phone: 240-994-3628