Individual
AFI N KETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5705 43RD AVE APT 2, HYATTSVILLE, MD 20781
(202) 644-3664
Mailing address
5705 43RD AVE APT 2, HYATTSVILLE, MD 20781-1604
(202) 644-3664
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13697
DC
Other
Enumeration date
06/04/2018
Last updated
07/31/2018
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