LARISSA KETUM

LAUREL, MD
NPI1801162052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2012-03-31
Last Update Date2012-03-31
Business Address
-- LARISSA KETUM hha
8611 PORTSMOUTH DR
LAUREL, MD 20708-1819
Phone number: 202-545-0935
Mailing Address
-- LARISSA KETUM hha
8611 PORTSMOUTH DR
LAUREL, MD 20708-1819
Phone number: 202-545-0935
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