Individual
NDOH KERETH NYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6704 ROLLING HILL CT, UPPER MARLBORO, MD 20772-3942
(240) 935-9061
Mailing address
6704 ROLLING HILL CT, UPPER MARLBORO, MD 20772-3942
(240) 935-9061
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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