Individual
KETTIA CYRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13918 CASTLE BLVD APT 304, SILVER SPRING, MD 20904-4954
(301) 455-9202
Mailing address
13918 CASTLE BLVD APT 304, SILVER SPRING, MD 20904-4954
(301) 455-9202
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00191251
MD
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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