Provider Demographics
NPI:1881941854
Name:AGBOVI, DOH EUPHRASIE
Entity type:Individual
Prefix:
First Name:DOH
Middle Name:EUPHRASIE
Last Name:AGBOVI
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 1:5600 54TH AVE APT 611
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2228
Mailing Address - Country:US
Mailing Address - Phone:202-255-7527
Mailing Address - Fax:
Practice Address - Street 1:5600 54TH AVE APT 611
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2228
Practice Address - Country:US
Practice Address - Phone:202-255-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide