Individual
CARMELUS IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14163 CASTLE BLVD APT 403, SILVER SPRING, MD 20904-4785
(240) 501-1506
Mailing address
14163 CASTLE BLVD APT 403, SILVER SPRING, MD 20904-4785
(240) 501-1506
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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