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1043569908
VITALIS ETIBA KWENE
LANHAM, MD
NPI
1043569908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
VITALIS ETIBA KWENE
7600 GOOD LUCK RD
LANHAM, MD 20706-3700
Phone number: 202-529-6510
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Mailing Address
VITALIS ETIBA KWENE
7600 GOOD LUCK RD
LANHAM, MD 20706-3700
Phone number: 202-529-6510
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