| Doctor Name: | MR. ALPHA TEJAN KAMARA |
| NPI Number: | 1114267077 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 103613 |
| Business Practice Address: | 5028 57th Ave Bladensburg, MD - 207101630 |
| Business Phone Number: | 2403512586 |
| Business Fax Number: | |
| Mailing Address: | 5028 57th Ave Apt 104, BLADENSBURG |
| State: | MD |
| Postal Code: | 207101620 |
| Phone Number: | 2403512586 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2013 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 103613 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |