Individual
NASHAWN KENNETH RILEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 BROOKS DR APT T17, DISTRICT HEIGHTS, MD 20747-1084
(301) 836-8621
Mailing address
2110 BROOKS DR APT T17, DISTRICT HEIGHTS, MD 20747-1084
(301) 836-8621
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
4483517
DC
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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