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1073062162
AMIDA IDRISSOU
TAKOMA PARK, MD
NPI
1073062162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA12427)
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- AMIDA IDRISSOU HHA
7600 MAPLE AVE APT 510
TAKOMA PARK, MD 20912-5543
Phone number: 202-910-7928
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Mailing Address
-- AMIDA IDRISSOU HHA
7600 MAPLE AVE APT 510
TAKOMA PARK, MD 20912-5543
Phone number: 202-910-7928
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