Provider Demographics
NPI:1336662428
Name:KAMANI, VICTORINE
Entity Type:Individual
Prefix:
First Name:VICTORINE
Middle Name:
Last Name:KAMANI
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 1:10906 HUNTCLIFF DR APT 10
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3370
Mailing Address - Country:US
Mailing Address - Phone:240-675-7134
Mailing Address - Fax:
Practice Address - Street 1:10906 HUNTCLIFF DR APT 10
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3370
Practice Address - Country:US
Practice Address - Phone:240-675-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12857374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide