Individual
EVARISTUS KOBI NDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3512 CHERRYVALE DR, BELTSVILLE, MD 20705-3837
(240) 701-6588
Mailing address
3512 CHERRYVALE DR, BELTSVILLE, MD 20705-3837
(240) 701-6588
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN1017603
DC
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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