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NPI Code Detail

MEDICARE: SIMONE GISELE TCHETGNA

MEDICARE:   SIMONE GISELE TCHETGNA
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
1171M00000XCase Manager/Care Coordinator
2251S00000XCommunity/Behavioral Health Agency
3374U00000XHome Health AideHHA15525DC

General Provider Information

NPI Number : 1073104030
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE GISELE TCHETGNA
Provider Business Mailing Address
First Line : 2009 AVALON PL
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-2811
Country : US
Telephone Number : 240-595-5230
Fax Number :
Provider Business Practice Location Address
First Line : 2009 AVALON PL
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-2811
Country : US
Telephone Number : 240-595-5230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2021
Last Update Date : 05/19/2025

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Directions to “ SIMONE GISELE TCHETGNA ” Practice Location

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