Individual
KENNETH METUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 NEW HAMPSHIRE AVE APT 1011, TAKOMA PARK, MD 20912-6954
(240) 476-9997
Mailing address
7401 NEW HAMPSHIRE AVE APT 1011, TAKOMA PARK, MD 20912-6954
(240) 476-9997
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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