Individual
MIRIAM KIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 KENILWORTH AVE APT 202, HYATTSVILLE, MD 20781-2850
(832) 845-8010
Mailing address
5225 KENILWORTH AVE APT 202, HYATTSVILLE, MD 20781-2850
(832) 845-8010
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12594
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12594
HOME HEALTH AIDE
DC
Enumeration date
12/13/2016
Last updated
12/13/2016
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