Individual
KENNETH EDIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
9755 GOOD LUCK RD APT 4, LANHAM, MD 20706-3326
(703) 606-3503
(202) 545-0934
Mailing address
9755 GOOD LUCK RD APT 4, LANHAM, MD 20706-3326
(703) 606-3503
(202) 545-0934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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