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Individual

MR. KENNETH SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
938 WILD FOREST DR, GAITHERSBURG, MD 20879-3209
(844) 381-4432
Mailing address
938 WILD FOREST DR, GAITHERSBURG, MD 20879-3209
(754) 209-5415

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747
MD

Other

Enumeration date
01/10/2019
Last updated
01/10/2019
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