Individual
BOTEH KEITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
12401 BRICKYARD BLVD APT 102, BELTSVILLE, MD 20705-1336
(240) 854-3726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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