Individual
NICOLE RACHEL KENMGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3624
(240) 573-8023
Mailing address
2600 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3624
(240) 573-8023
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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