Organization
KYAKBA THERAPEUTIC HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA WARREN-TAYLOR FNP-BC (CEO)
(301) 525-3933
Entity
Organization
Contact information
Practice address
15522 BAILEYS LN, SILVER SPRING, MD 20906-1343
(301) 525-3933
(240) 491-5994
Mailing address
15522 BAILEYS LN, SILVER SPRING, MD 20906-1343
(301) 525-3933
(240) 491-5994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R181699
MD
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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