Provider Demographics
NPI:1184368862
Name:KAMARA, FOSTINA (NON- MEDICAL)
Entity type:Individual
Prefix:
First Name:FOSTINA
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:NON- MEDICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 CARRONADE WAY
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2360
Mailing Address - Country:US
Mailing Address - Phone:240-601-9973
Mailing Address - Fax:
Practice Address - Street 1:356 CARRONADE WAY
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2360
Practice Address - Country:US
Practice Address - Phone:240-601-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services