Individual
MARY NKETIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 CATHEDRAL AVE NW, WASHINGTON, DC 20016-3561
(917) 597-2457
Mailing address
19538 CRYSTAL ROCK DR APT 24, GERMANTOWN, MD 20874-4932
(240) 478-0949
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
A00076519
MD
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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