GHISLAINE KENMEGNE DATOUO MOGO

WASHINGTON, DC
NPI1164064705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: DC  RN1028252)
Enumeration Date2019-10-15
Last Update Date2019-10-15
Business Address
GHISLAINE KENMEGNE DATOUO MOGO
4130 HUNT PL NE
WASHINGTON, DC 20019-3565
Phone number: 202-679-0620
Mailing Address
GHISLAINE KENMEGNE DATOUO MOGO
9580 MUIRKIRK RD APT 101
LAUREL, MD 20708-2717
Phone number: 240-705-1096
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