Most Relevant Information
Provider Data
NPI Number: | 1003173998 |
Provider Name: | SHEWANESH KABTHYMER |
Entity Type: | Individual |
Taxonomy Code: | 374U00000X |
Specialty: | Home Health Aide |
License Number: |
Most Important Dates
Enumeration Date: | 04/16/2012 |
Last Updated: | 03/01/2018 |
Provider Practice Location
1025 THOMAS JEFFERSON ST NW
180G
WASHINGTON
DC
200075201
Practice Location Phone/Fax
Phone: | 2022991109 |
Fax: |
Provider Mailing Location
1025 THOMAS JEFFERSON ST NW
180G
WASHINGTON
DC
200075201
Provider Mailing Phone/Fax
Phone: | 2022991109 |
Fax: |