Individual
JENESIE SIA KAMINJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11215 OAK LEAF DR APT 719, SILVER SPRING, MD 20901-1370
(240) 855-3418
Mailing address
11215 OAK LEAF DR APT 719, SILVER SPRING, MD 20901-1370
(240) 855-3418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1003426
DC
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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