Individual
MARIE KENANDE ST CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 BUCHANAN ST NW, WASHINGTON, DC 20011-4446
(240) 636-0077
Mailing address
8710 NW 3RD ST, PEMBROKE PINES, FL 33024-6508
(754) 217-0825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
02/26/2025
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