Provider Demographics
NPI:1326592858
Name:ZINSOU, SONATE BEATRICE F
Entity Type:Individual
Prefix:
First Name:SONATE
Middle Name:BEATRICE F
Last Name:ZINSOU
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 1:600 KENNEBEC AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6234
Mailing Address - Country:US
Mailing Address - Phone:240-505-2033
Mailing Address - Fax:
Practice Address - Street 1:600 KENNEBEC AVE APT 301
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6234
Practice Address - Country:US
Practice Address - Phone:240-505-2033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-13
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12311374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide