Individual
NEOLA KIMBAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5422 54TH AVE APT 6, RIVERDALE, MD 20737-2324
(240) 462-2907
Mailing address
5422 54TH AVE APT 6, RIVERDALE, MD 20737-2324
(240) 462-2907
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15908
DC
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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