Provider Demographics
NPI:1982474177
Name:ALADEKERE, KEVWE VERONICA
Entity type:Individual
Prefix:
First Name:KEVWE
Middle Name:VERONICA
Last Name:ALADEKERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 RUSTLING LEAVES TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3608
Mailing Address - Country:US
Mailing Address - Phone:240-960-3709
Mailing Address - Fax:
Practice Address - Street 1:4306 RUSTLING LEAVES TER
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3608
Practice Address - Country:US
Practice Address - Phone:240-960-3709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide