Provider Demographics
NPI:1023542636
Name:DJIECHEU, FLORE
Entity Type:Individual
Prefix:
First Name:FLORE
Middle Name:
Last Name:DJIECHEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 QUARLES ST NE
Mailing Address - Street 2:APT 101
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-8153
Mailing Address - Country:US
Mailing Address - Phone:202-286-2351
Mailing Address - Fax:
Practice Address - Street 1:4925 QUARLES ST NE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-8153
Practice Address - Country:US
Practice Address - Phone:202-286-2351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X, 251S00000X
DCHHA11951390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program