Most Relevant Information
Provider Data
| NPI Number: | 1003365776 |
| Provider Name: | DORETTE KWEMATCHA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2016 |
| Last Updated: | 10/07/2016 |
Provider Practice Location
8681 GREENBELT RD
APT 102
GREENBELT
MD
20770
Practice Location Phone/Fax
| Phone: | 3019791511 |
| Fax: |
Provider Mailing Location
8681 GREENBELT RD
APT 102
GREENBELT
MD
20770
Provider Mailing Phone/Fax
| Phone: | 3019791511 |
| Fax: |