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Individual

JEMIMA FRIMPONG KODUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1117 FUTURITY ST, FREDERICK, MD 21702-2358
(240) 626-3286
Mailing address
1117 FUTURITY ST, FREDERICK, MD 21702-2358
(240) 626-3286

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN966950
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023150880
MD

Other

Enumeration date
12/05/2023
Last updated
02/20/2024
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