Provider Demographics
NPI:1295440006
Name:KAMARA, JULLIET HAWA (MD)
Entity type:Individual
Prefix:
First Name:JULLIET
Middle Name:HAWA
Last Name:KAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JULLIET
Other - Middle Name:HAWA
Other - Last Name:KAMARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3915 WARNER AVE APT C23915
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2062
Mailing Address - Country:US
Mailing Address - Phone:240-736-4080
Mailing Address - Fax:410-220-0768
Practice Address - Street 1:3915 WARNER AVE APT C23915
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2062
Practice Address - Country:US
Practice Address - Phone:240-736-4080
Practice Address - Fax:410-220-0768
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician