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Individual
MISS SERKALEM MERRA
Active
Individual
MISS SERKALEM MERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
30753
DC
164X00000X
Licensed Vocational Nurse
3753
DC
374U00000X
Home Health Aide
Primary
HHA4946
DC
Other
Enumeration date
09/12/2012
Last updated
05/15/2018
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