Individual
CANISIA A RKOKOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 RAVENSWOOD ST, HYATTSVILLE, MD 20782-1755
(202) 722-1725
Mailing address
2115 RAVENSWOOD ST, HYATTSVILLE, MD 20782-1755
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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