Joan Kidola
NPI #1215308473 in Takoma Park, Maryland
Provider Information
- NPI Number
- 1215308473
- Entity Type
- Individual
- Name
- Joan Kidola
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 14, 2015
- Last Updated
- Oct 14, 2015
Practice Location
- Address
- 6813 RED TOP RD
- Address 2
- #1
- City
- Takoma Park
- State
- Maryland
- ZIP Code
- 20912-5907
- Phone
- (240) 595-9416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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