Individual
SIA BINTU KAIMACHIANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 S CAPITOL ST SE, WASHINGTON, DC 20032-1342
(443) 882-9730
Mailing address
6019 67TH AVE 5, RIVERDALE, DC 29737
(240) 696-9410
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
A00145480
MD
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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