Individual
MEKDES OBSSA KANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 NEW HAMPSHIRE AVE STE 504F, HYATTSVILLE, MD 20783-3277
(301) 560-1352
Mailing address
908 GOOD HOPE DR, SILVER SPRING, MD 20905-6003
(202) 403-1340
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
31637
DC
374U00000X
Home Health Aide
Primary
HHA9061
DC
Other
Enumeration date
11/06/2012
Last updated
02/21/2018
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