Individual
KINYAM JUDE TEWELIKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
826 RAY RD, HYATTSVILLE, MD 20783-5000
(240) 595-7844
Mailing address
826 RAY RD, HYATTSVILLE, MD 20783-5000
(240) 595-7844
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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