Healthcare Provider Details

I. General information

NPI: 1538038617
Provider Name (Legal Business Name): PRINCESS CARTOH KAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S NEW ST
DOVER DE
19904-6726
US

IV. Provider business mailing address

539 WILLOWWOOD DR
SMYRNA DE
19977-5240
US

V. Phone/Fax

Practice location:
  • Phone: 302-857-6060
  • Fax:
Mailing address:
  • Phone: 302-465-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: