Provider Demographics
NPI:1962198796
Name:KAMARA, MUSU (HHA, CNA)
Entity type:Individual
Prefix:
First Name:MUSU
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:HHA, CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 DODGE PARK RD APT 204
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2043
Mailing Address - Country:US
Mailing Address - Phone:240-960-9322
Mailing Address - Fax:
Practice Address - Street 1:5000 NANNIE HELEN BURROUGHS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5506
Practice Address - Country:US
Practice Address - Phone:202-399-7504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide