Individual ProviderHenriette MoukouryRegistered NurseNursing Service ProvidersPractice Address7506 Georgia Ave NW, Washington, DC 20012-1608(202) 291-6973PECOS EnrollmentBased on the most recent information from CMS, provider Henriette Moukoury does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1881358604Provider TypeIndividualFull NameMoukoury, HenrietteGenderFemaleSole ProprietorYesEnumeration Date10/27/2021Last Updated10/27/2021Contact InformationPractice LocationPractice Address7506 Georgia Ave NW, Washington, DC 20012-1608Phone(202) 291-6973FaxUnlisted FaxMailing LocationMailing Address2215 Cold Meadow Way, Silver Spring, MD 20906-6214PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN1054222District of Columbia