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NPI Code Detail

MEDICARE: FLORENCE SAMEN KOUATCHOU

MEDICARE:   FLORENCE SAMEN KOUATCHOU
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
1374U00000XHome Health AideA00197179MD

General Provider Information

NPI Number : 1215682638
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE SAMEN KOUATCHOU
Provider Business Mailing Address
First Line : 11700 OLD COLUMBIA PIKE APT 1205
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-2555
Country : US
Telephone Number : 202-940-3606
Fax Number :
Provider Business Practice Location Address
First Line : 11700 OLD COLUMBIA PIKE APT 1205
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-2555
Country : US
Telephone Number : 202-940-3606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 02/14/2022

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Directions to “ FLORENCE SAMEN KOUATCHOU ” Practice Location

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