Provider Demographics
NPI:1023699923
Name:GOUFANN, DENISE NDEME SANAMA
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:NDEME SANAMA
Last Name:GOUFANN
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 1:7826 EASTERN AVE NW STE LL14
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1328
Mailing Address - Country:US
Mailing Address - Phone:240-907-1532
Mailing Address - Fax:
Practice Address - Street 1:7826 EASTERN AVE NW STE LL14
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1328
Practice Address - Country:US
Practice Address - Phone:240-907-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide