Individual
JOAN KIDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6813 RED TOP RD, #1, TAKOMA PARK, MD 20912-5907
(240) 595-9416
(202) 541-9845
Mailing address
6813 RED TOP RD, #1, TAKOMA PARK, MD 20912-5907
(240) 595-9416
(202) 541-9845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006573
DC
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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