SearchMaryland374U00000X

Koudzo Ametowossi

NPI 1649021692 · on the registry since 2024 · sole proprietor

Practice

Address
2631 Nicholson St Apt 202
Hyattsville, MD 20782
Phone
(202) 813-5205
Clinicians at this address
3

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland