SearchMaryland374U00000X

Fanta Kaba

NPI 1326542028 · on the registry since 2018 · sole proprietor

Practice

Address
5902 31st Ave
Hyattsville, MD 20782
Phone
(240) 505-4634
Clinicians at this address
10

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-19

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