Most Relevant Information
Provider Data
| NPI Number: | 1003173675 |
| Provider Name: | GISELE C DJOENDIA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2012 |
| Last Updated: | 04/19/2012 |
Provider Practice Location
1509 BENNING RD NE
WASHINGTON
DC
200024536
Practice Location Phone/Fax
| Phone: | 2027221725 |
| Fax: |
Provider Mailing Location
1509 BENNING RD NE
WASHINGTON
DC
200024536
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |