Provider Demographics
NPI:1376892109
Name:KAMARA, RHABIATU D (LPN)
Entity Type:Individual
Prefix:MRS
First Name:RHABIATU
Middle Name:D
Last Name:KAMARA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 WASHINGTON OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-1455
Mailing Address - Country:US
Mailing Address - Phone:240-486-5720
Mailing Address - Fax:
Practice Address - Street 1:15511 SYMONDSBURY WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-8045
Practice Address - Country:US
Practice Address - Phone:301-592-7433
Practice Address - Fax:301-780-7309
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP36696164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse