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NPI Code Detail

MEDICARE: KINYAM JUDE TEWELIKUM HHA

MEDICARE: KINYAM JUDE TEWELIKUM HHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1841621950
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINYAM JUDE TEWELIKUM HHA
Provider Business Mailing Address
First Line : 826 RAY RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-5000
Country : US
Telephone Number : 240-595-7844
Fax Number :
Provider Business Practice Location Address
First Line : 826 RAY RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-5000
Country : US
Telephone Number : 240-595-7844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2013
Last Update Date : 11/29/2013

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Directions to “ KINYAM JUDE TEWELIKUM HHA” Practice Location

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