Ketum, Larissa
Ketum, Larissa is an sole proprietor health care provider with primary practice located at 8611 Portsmouth Dr , Laurel MD 20708-1819. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Ketum, Larissa can be contacted via phone (202) 545-0935.Contact Information
Primary practice address
8611 Portsmouth Dr
Laurel MD 20708-1819
Phone: (202) 545-0935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1801162052 |
|---|---|
| LBN Legal business name | Ketum, Larissa |
| Credentials | HHA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2012 |
| Last updated | Mar 31st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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