Individual
LIVETT TIFUH KEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 JASMINE TER APT 308, HYATTSVILLE, MD 20783-4511
(301) 825-2016
Mailing address
1713 JASMINE TER APT 308, HYATTSVILLE, MD 20783-4511
(301) 825-2016
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1745
DC
Other
Enumeration date
06/01/2012
Last updated
04/25/2019
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