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Individual

MRS. BETH EKENMA JAWARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-6162
(301) 891-5354
Mailing address
14504 FAIRDALE RD, SILVER SPRING, MD 20905-6526
(202) 877-9696
(202) 877-9263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN56583
DC
363LA2100X
Acute Care Nurse Practitioner
R109023
MD

Other

Enumeration date
02/12/2007
Last updated
08/28/2014
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