Individual
MELISA TANISHA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 SOUTH CLARK STREET, SUITE 700, ARLINGTON, VA 22201
(844) 381-4432
(877) 763-2165
Mailing address
1070 MOUNT OLIVET RD NE APT C42, WASHINGTON, DC 20002-2233
(202) 421-4553
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0
DC
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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