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Individual

CHICK ACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5404 5TH ST NW APT 1, WASHINGTON, DC 20011-3182
(240) 667-6098
Mailing address
5404 5TH ST NW APT 1, WASHINGTON, DC 20011-3182
(240) 667-6098

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1051163
DC
374U00000X
Home Health Aide
HHA11983
DC

Other

Enumeration date
04/26/2016
Last updated
04/22/2019
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