Most Relevant Information
Provider Data
| NPI Number: | 1003589722 |
| Provider Name: | RACHIDATOU KPEKPASSI |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | A00176599 |
Most Important Dates
| Enumeration Date: | 07/28/2021 |
| Last Updated: | 07/28/2021 |
Provider Practice Location
507 CHILLUM RD
HYATTSVILLE
MD
207833315
Practice Location Phone/Fax
| Phone: | 2028198111 |
| Fax: |
Provider Mailing Location
507 CHILLUM RD
HYATTSVILLE
MD
207833315
Provider Mailing Phone/Fax
| Phone: | 2028198111 |
| Fax: |