Individual
KOKEBE AMENU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8608 FLOWER AVE, TAKOMA PARK, MD 20912-6603
(202) 718-9031
Mailing address
8608 FLOWER AVE, TAKOMA PARK, MD 20912-6603
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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