Individual
FARIDA JETHA BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 LYTTONSVILLE RD APT 1007, SILVER SPRING, MD 20910-1934
(240) 593-7370
(202) 290-3487
Mailing address
2445 LYTTONSVILLE RD APT 1007, SILVER SPRING, MD 20910-1934
(240) 593-7370
(202) 290-3487
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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