Provider Demographics
NPI:1922809797
Name:DJOUKA KWETCHE, DELPHINE D
Entity type:Individual
Prefix:
First Name:DELPHINE
Middle Name:D
Last Name:DJOUKA KWETCHE
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 1:5419 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3412
Mailing Address - Country:US
Mailing Address - Phone:202-644-1777
Mailing Address - Fax:
Practice Address - Street 1:5419 16TH AVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3412
Practice Address - Country:US
Practice Address - Phone:202-644-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide