Individual
MRS. AILEEN BERUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(570) 780-2798
Mailing address
12933 OLIVINE WAY, SILVER SPRING, MD 20904-5328
(570) 780-2798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2022
Last updated
01/06/2025
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