Individual
KHADIJATU DENTON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
(410) 946-2010
Mailing address
14155 CASTLE BLVD APT 201, SILVER SPRING, MD 20904-4759
(857) 383-0028
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00148664
MD
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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