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Individual
MRS. DEMETRIA S CLEMONS
Active
Individual
MRS. DEMETRIA S CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001211714
VA
163WH0200X
Home Health Registered Nurse
HCO-251653
VA
164W00000X
Licensed Practical Nurse
HCO-251653
VA
251E00000X
Home Health Agency
HCO-251653
VA
251J00000X
Nursing Care Agency
HCO-251653
VA
3747P1801X
Personal Care Attendant
HCO-251653
VA
385H00000X
Respite Care
HCO-251653
VA
Other
Enumeration date
05/29/2014
Last updated
08/06/2023
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