Individual
KINE BA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23462 CANNA CT, CALIFORNIA, MD 20619-6171
(240) 808-3824
Mailing address
23462 CANNA CT, CALIFORNIA, MD 20619-6171
(240) 808-3824
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/11/2025
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