Provider Demographics
NPI:1003794868
Name:ESESEH, CLUVIS AMINDE
Entity type:Individual
Prefix:
First Name:CLUVIS
Middle Name:AMINDE
Last Name:ESESEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 SEAT PLEASANT DR APT 303
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-2473
Mailing Address - Country:US
Mailing Address - Phone:202-389-8747
Mailing Address - Fax:
Practice Address - Street 1:6804 SEAT PLEASANT DR APT 303
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-2473
Practice Address - Country:US
Practice Address - Phone:202-389-8747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide