Individual
MARY UCHE KEMAKOLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4542
(202) 299-5100
Mailing address
7150 CONTEE RD, LAUREL, MD 20707-9527
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R136375
DC
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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