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Individual

MS. KONGIT MEKONNEN ABOCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3302 RANDOLPH RD, SILVER SPRING, MD 20902-1146
(301) 683-4776
Mailing address
3302 RANDOLPH RD, SILVER SPRING, MD 20902-1146
(301) 683-4776

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13846
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A-126-475-599-354
DRIVER'S LICENSE
MD
Enumeration date
05/09/2019
Last updated
06/11/2019
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