IDA MABELLE KONCHOU

TAKOMA PARK, MD
NPI1134482078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R207705)
Enumeration Date2012-06-15
Last Update Date2020-03-20
Business Address
IDA MABELLE KONCHOU HHA
6731 NEW HAMPSHIRE AVE APT 409
TAKOMA PARK, MD 20912-2801
Phone number: 202-545-0935
Mailing Address
IDA MABELLE KONCHOU HHA
6731 NEW HAMPSHIRE AVE APT 409
TAKOMA PARK, MD 20912-2801
Phone number: 202-545-0935
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