Individual
MIRIAMMERCY IBEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 ELY PL SE, WASHINGTON, DC 20019-3089
(773) 414-9316
Mailing address
3740 ELY PL SE, WASHINGTON, DC 20019-3089
(773) 414-9316
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA00810253
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA00810253
CERTIFIED NURSING ASSISTANT
DC
Enumeration date
09/22/2016
Last updated
09/22/2016
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