Individual
JACOB KAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13917 CASTLE BLVD, SILVER SPRING, MD 20904-4917
(240) 422-7660
Mailing address
13917 CASTLE BLVD, SILVER SPRING, MD 20904-4917
(240) 422-7660
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00155879
—
MD
Enumeration date
10/07/2020
Last updated
10/07/2020
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