TENTEU GERVAIS SOUOP

WASHINGTON, DC
NPI1073209987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
TENTEU GERVAIS SOUOP
4660 MARTIN LUTHER KING JR AVE SW STE A3
WASHINGTON, DC 20032-4958
Phone number: 202-318-0179
Mailing Address
TENTEU GERVAIS SOUOP
6841 RIVERDALE RD APT 201C
RIVERDALE, MD 20737
Phone number: 301-256-5009
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