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Individual

MR. EMMANUEL KANJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
137 WATKINS STATION CIR, APT.F, GAITHERSBURG, MD 20879-3345
(301) 590-2633
Mailing address
137 WATKINS STATION CIR, APT.F, GAITHERSBURG, MD 20879-3345
(301) 590-2633

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R128473
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN67916
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031353000
MD
Enumeration date
01/26/2010
Last updated
06/09/2023
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