Individual
KELDER ESUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13920 CASTLE BLVD APT 310, SILVER SPRING, MD 20904-4958
(240) 481-4590
Mailing address
13920 CASTLE BLVD APT 310, SILVER SPRING, MD 20904-4958
(240) 481-4590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094772428
—
DC
05
—
A00178455
—
MD
Enumeration date
10/19/2020
Last updated
05/07/2024
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