Individual
NICOLINE NIBA SIRRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9105 ELAINE CT, LAUREL, MD 20708-1007
(240) 374-8057
Mailing address
9105 ELAINE CT, LAUREL, MD 20708-1007
(240) 374-8057
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
08/15/2012
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