Individual
GILBERT BOLI KEMDA KEMTSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4608 6TH PL NE, WASHINGTON, DC 20017-2205
(202) 412-7103
Mailing address
4608 6TH PL NE, WASHINGTON, DC 20017-2205
(202) 412-7103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA8067
DC
Other
Enumeration date
01/17/2014
Last updated
04/19/2018
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