Individual
MILAINE KENGUIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6275 64TH AVE, APT. 1, RIVERDALE, MD 20737-2960
(301) 275-3161
Mailing address
6275 64TH AVE, APT. 1, RIVERDALE, MD 20737-2960
(301) 275-3161
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12374
DC
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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