Individual
JILLY KYOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14115 PORRINGER CT, BURTONSVILLE, MD 20866-2062
(301) 383-7406
Mailing address
14115 PORRINGER CT, BURTONSVILLE, MD 20866-2062
(301) 383-7406
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
MTO139237
MD
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTO139237
—
MD
Enumeration date
06/26/2020
Last updated
08/05/2020
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