Provider Demographics
NPI:1497591861
Name:KAMARA, THORLU ABDULRAHMAN
Entity type:Individual
Prefix:
First Name:THORLU
Middle Name:ABDULRAHMAN
Last Name:KAMARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13803 CASTLE BLVD APT 31
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7312
Mailing Address - Country:US
Mailing Address - Phone:240-706-6898
Mailing Address - Fax:
Practice Address - Street 1:13803 CASTLE BLVD APT 31
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7312
Practice Address - Country:US
Practice Address - Phone:240-706-6898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician