Individual
KPUMBU JAIDZEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14014 LAKE MEADOWS DR, BOWIE, MD 20720-3812
(240) 906-4585
Mailing address
14014 LAKE MEADOWS DR, BOWIE, MD 20720-3812
(240) 906-4585
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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