Provider Demographics
NPI:1831894591
Name:ARUNA, AMINATA BERNADETTE
Entity type:Individual
Prefix:
First Name:AMINATA
Middle Name:BERNADETTE
Last Name:ARUNA
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 1:9421 UTICA PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5446
Mailing Address - Country:US
Mailing Address - Phone:240-640-6924
Mailing Address - Fax:
Practice Address - Street 1:9421 UTICA PL
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-5446
Practice Address - Country:US
Practice Address - Phone:240-640-6924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator