Individual
IVY KUNSONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4434 68TH PL APT B5, HYATTSVILLE, MD 20784-2021
(240) 610-7050
Mailing address
4434 68TH PL APT B5, HYATTSVILLE, MD 20784-2021
(240) 610-7050
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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