Individual
CHISOM LINDA AMAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 MINN AVE NE, WASHINGTON, DC 20019-2660
(202) 390-0824
Mailing address
5423 56TH AVE, RIVERDALE, MD 20737-2400
(202) 390-0824
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
13319
DC
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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