Individual
KEEN TESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 MUSKOGEE ST, ADELPHI, MD 20783-1426
(240) 360-6685
Mailing address
2603 MUSKOGEE ST, ADELPHI, MD 20783-1426
(240) 360-6685
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276571200
—
DC
Enumeration date
09/02/2020
Last updated
07/31/2023
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