Vitalis Etiba Kwene

NPI 1043569908 - Home Health Aide - 374U00000X

NPI Details
NPI 1043569908
Gender Male
Enumeration Date 09/06/2012
Last Updated 09/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7600 GOOD LUCK RD
LANHAM MD, 20706-3700, US
Phone (202) 529-6510
Fax
Business Location
7600 GOOD LUCK RD
LANHAM MD, 20706-3700, US
Phone (202) 529-6510
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Vitalis Etiba Kwene NPI is 1043569908, taxonomy code is 374U00000X Vitalis Etiba Kwene physically located at 7600 Good Luck Rd, Lanham MD, 20706-3700. NPI Number Vitalis Etiba Kwene has the Individual type.

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1043569908 NPI number is provided on an as is basis without warranty of any kind. 1043569908 is maintained by the National Plan & Provider Enumeration System. The contents of Vitalis Etiba Kwene are for informational purposes only.