Individual
WILLIETTE COMFORT KOOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 RAYLON DR APT D, NOTTINGHAM, MD 21236-4953
(443) 686-2656
Mailing address
7 RAYLON DR APT D, NOTTINGHAM, MD 21236-4953
(443) 686-2656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RSA-01574
MD
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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