Individual
COLOTA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13106 CAMELLIA DR, SILVER SPRING, MD 20906-3323
(240) 469-0988
Mailing address
13106 CAMELLIA DR, SILVER SPRING, MD 20906-3323
(240) 469-0988
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A000148827
MD
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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