Individual
RAISA ACHE KEM BUMBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14740 4TH ST APT 105, LAUREL, MD 20707-3880
(301) 851-9963
Mailing address
14740 4TH ST APT 105, LAUREL, MD 20707-3880
(301) 851-9963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/08/2022
Last updated
10/23/2025
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