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Individual

AMINATA KANU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6003 67TH AVE, RIVERDALE, MD 20737-1756
(202) 849-1567
Mailing address
6003 67TH AVE, RIVERDALE, MD 20737-1756
(202) 849-1567

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
A00048070
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A00048070
MD
Enumeration date
09/02/2020
Last updated
09/17/2020
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