Individual
KHADIJAH KONIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
7404 CINNABAR TER, GAITHERSBURG, MD 20879-4575
(240) 646-2224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001315972
VA
164W00000X
Licensed Practical Nurse
Primary
LPN200002655
DC
Other
Enumeration date
07/11/2023
Last updated
09/01/2023
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