Individual
MARY MIATTA KARGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA, REGISTERED NURS
Contact information
Practice address
2637 NICHOLSON ST APT 103, HYATTSVILLE, MD 20782-2661
(202) 545-0935
(202) 545-0934
Mailing address
15405 EMMANUAL WAY, BOWIE, MD 20716-1265
(240) 706-4347
(240) 706-4347
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN1044787
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/05/2012
Last updated
07/21/2022
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