Individual
KWAMI KOMLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3163 QUEENS CHAPEL RD #102, MOUNT RAINIER, MD 20712
(240) 505-7358
Mailing address
3163 QUEENS CHAPEL RD #102, MOUNT RAINIER, MD 20712
(240) 505-7358
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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