Individual
KUMSA L. KENENISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13423 DEER HIGHLANDS WAY, SILVER SPRING, MD 20906-6714
(202) 427-5139
Mailing address
13423 DEER HIGHLANDS WAY, SILVER SPRING, MD 20906-6714
(202) 427-5139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1035160
DC
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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