Individual
MISS ASHUTABOT E NKI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 16TH ST NW APT 428, WASHINGTON, DC 20009-6703
(816) 255-5021
Mailing address
26611 S CLARK ST SUITE 700,, ARLINGTON, VA 22202
(844) 381-4432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45923860
—
TX
01
—
754515
NATIONAL CPR FOUNDATION
MD
Enumeration date
09/30/2020
Last updated
09/30/2020
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