Individual
ANGELINE KENMOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10823 GEORGIA AVE APT 201, SILVER SPRING, MD 20902-4738
(240) 704-3195
Mailing address
10823 GEORGIA AVE APT 201, SILVER SPRING, MD 20902-4738
(240) 704-3195
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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