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Organization

PROFESSIONAL HEALTHCARE RESOURCES

Active
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Organization

PROFESSIONAL HEALTHCARE RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA L. PEREIRA APRN (PALLIATIVE CARE NURSE PRACTITIONER)
(301) 351-4405
Entity
Organization

Contact information

Practice address
1010 WISCONSIN AVE NW, SUITE 300, WASHINGTON, DC 20007-3603
(202) 289-1201
(202) 289-5461
Mailing address
9524 CANONBURY SQ, FAIRFAX, VA 22031-6086
(301) 351-4405

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
RN1014389
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN1014389
DC
Enumeration date
03/27/2013
Last updated
08/02/2013
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