Individual
JOYSLINE KETUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13304 DEERFIELD RD APT 202, LAUREL, MD 20708-2022
(240) 486-7208
Mailing address
13304 DEERFIELD RD APT 202, LAUREL, MD 20708-2022
(240) 486-7208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
08/31/2012
Last updated
12/05/2023
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