Individual
KIDST GETIE GELAW I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 MAPLE AVE APT 405, TAKOMA PARK, MD 20912-5522
(202) 760-9910
Mailing address
7611 MAPLE AVE APT 405, TAKOMA PARK, MD 20912-5522
(202) 760-9910
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15716
DC
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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