Individual
KADIATOU KEITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3300 NOURTH RIDGE RD SUITE 174, ELLICOTT CITY, MD 21043
(410) 750-3474
Mailing address
1705 MOUNT PISGAH LN APT 32, SILVER SPRING, MD 20903-2437
(301) 445-3010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP40635
MD
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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