Individual
KEASHA HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
4139 W FOREST PARK AVE FL 1, BALTIMORE, MD 21207-7408
(443) 410-9544
Mailing address
4139 W FOREST PARK AVE FL 1, BALTIMORE, MD 21207-7408
(443) 410-9544
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
MD
3747P1801X
Personal Care Attendant
Primary
—
MD
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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