Provider Demographics
NPI:1922753540
Name:DOUNAMOU, VIVIANE
Entity Type:Individual
Prefix:
First Name:VIVIANE
Middle Name:
Last Name:DOUNAMOU
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 1:904 22ND ST NE APT 104
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3253
Mailing Address - Country:US
Mailing Address - Phone:202-907-5888
Mailing Address - Fax:
Practice Address - Street 1:904 22ND ST NE APT 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3253
Practice Address - Country:US
Practice Address - Phone:202-907-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide