Individual
BROOKE KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 24TH RD N, ARLINGTON, VA 22207-3514
(703) 459-0218
Mailing address
4625 24TH RD N, ARLINGTON, VA 22207-3514
(703) 459-0218
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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