-- KOKU ADELA --
Individual Provider (NPI-1)
Active
Driver
Provider Information
- NPI Number
1710375589- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 20440 MEADOW POND PL, GAITHERSBURG, MD, 208861130
- Phone
- (301) 938-3208
Specialties & Taxonomies
Driver
Primary License: MD #8116