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Individual

GERALDINE AMEIK KEM BUMBARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
10016 ELLARD DR, LANHAM, MD 20706-2051
(240) 608-0062

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251S00000X
Community/Behavioral Health Agency
374U00000X
Home Health Aide
HHA14688
DC

Other

Enumeration date
09/30/2019
Last updated
09/01/2023
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