Most Relevant Information
Provider Data
| NPI Number: | 1003465170 |
| Provider Name: | KAMALA MICHELLE JENIFER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2019 |
| Last Updated: | 09/10/2019 |
Provider Practice Location
711 HARVARD ST NW
WASHINGTON
DC
200013809
Practice Location Phone/Fax
| Phone: | 2028238119 |
| Fax: |
Provider Mailing Location
2817 GAINESVILLE ST SE APT 3
WASHINGTON
DC
200202663
Provider Mailing Phone/Fax
| Phone: | 2022774297 |
| Fax: |