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Individual

EDMOND KEM ACHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9348 CHERRY HILL RD APT 116, COLLEGE PARK, MD 20740-1281
(202) 247-7519
Mailing address
6841B RIVERDALE RD APT 202B, RIVERDALE, MD 20737-1871
(202) 247-7519

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide

Other

Enumeration date
07/05/2022
Last updated
10/23/2023
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