Individual
KIDIST AMBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Mailing address
6814 RED TOP RD APT 1, TAKOMA PARK, MD 20912-5906
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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