Provider Demographics
NPI:1184985103
Name:KAMARA, ANIFATU
Entity type:Individual
Prefix:MRS
First Name:ANIFATU
Middle Name:
Last Name:KAMARA
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 1:9115 CONTEE RD APT 301
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2114
Mailing Address - Country:US
Mailing Address - Phone:202-706-8614
Mailing Address - Fax:
Practice Address - Street 1:9115 CONTEE RD APT 301
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2114
Practice Address - Country:US
Practice Address - Phone:202-706-8614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide