Individual
MELVIS MBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1424 R ST NW APT 102, WASHINGTON, DC 20009-3838
(202) 867-1868
Mailing address
1424 R ST NW APT 102, WASHINGTON, DC 20009-3838
(202) 867-1868
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/17/2012
Last updated
06/24/2024
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