Most Relevant Information
Provider Data
| NPI Number: | 1003245556 |
| Provider Name: | MICHELLE KOUAMOU HHA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/05/2013 |
| Last Updated: | 11/05/2013 |
Provider Practice Location
1819 STALEY MANOR DR
SILVER SPRING
MD
209041564
Practice Location Phone/Fax
| Phone: | 2029049452 |
| Fax: | 2025450934 |
Provider Mailing Location
1819 STALEY MANOR DR
SILVER SPRING
MD
209041564
Provider Mailing Phone/Fax
| Phone: | 2029049452 |
| Fax: | 2025450934 |