Individual
JITE BINTA AMURUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14502 GREENVIEW DR, SUITE #400, LAUREL, MD 20708
(240) 456-1001
Mailing address
14140 W SIDE BLVD, APT 407, LAUREL, MD 20707-6223
(240) 565-7739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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