Individual
NISHANWORK MELKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 LOWANDER LN, SILVER SPRING, MD 20901-2834
(410) 206-1254
Mailing address
804 LOWANDER LN, SILVER SPRING, MD 20901-2834
(410) 206-1254
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNA20211718
—
MD
Enumeration date
06/17/2021
Last updated
06/17/2021
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