Individual ProviderMalanda Solkem ClamoungouBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address20435 72nd Ave S Ste 302, Kent, WA 98032-2358(877) 264-6747PECOS EnrollmentBased on the most recent information from CMS, provider Malanda Solkem Clamoungou 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 35 days ago.Profile DetailsProvider ID1972357820Provider TypeIndividualFull NameClamoungou, Malanda SolkemGenderFemaleSole ProprietorNoEnumeration Date4/16/2024Last Updated4/16/2024Contact InformationPractice LocationPractice Address20435 72nd Ave S Ste 302, Kent, WA 98032-2358Phone(877) 264-6747FaxUnlisted FaxMailing LocationMailing Address295 89th St Ste 306, Daly City, CA 94015-1656PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer