Individual
KHIDHR WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 VINTAGE CIR, GLEN BURNIE, MD 21061-5923
(240) 706-5691
Mailing address
7900 VINTAGE CIR, GLEN BURNIE, MD 21061-5923
(240) 706-5691
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000605583
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70026975
—
DC
Enumeration date
02/21/2023
Last updated
02/21/2023
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