Individual
CHANCELINE KOMETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
9007 GOOD LUCK RD, LANHAM, MD 20706-3422
(240) 543-0049
(202) 545-0934
Mailing address
9007 GOODLUCKROAD, LAHAM, MD 20607
(240) 534-0049
(202) 545-0934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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