Individual
EYERUSALEM SHIMELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S ALFRED ST, ALEXANDRIA, VA 22314-3653
(703) 867-0442
Mailing address
323 S ALFRED ST, ALEXANDRIA, VA 22314-3653
(703) 867-0442
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14415
DC
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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