SearchMaryland374U00000X

Jilly Kyomo

NPI 1316564206 · on the registry since 2020 · sole proprietor

Practice

Address
14115 Porringer Ct
Burtonsville, MD 20866
Phone
(301) 383-7406
Organisation at this address
Panatechs Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
146N00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland