Individual
LILLIAN KAVISHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4799
(301) 295-9004
Mailing address
311 S TRIMBLE RD, MANSFIELD, OH 44906-2997
(614) 390-9445
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
378629
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
04/30/2025
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