MEDICARE: DELMY ANTONIA MACHADO ZARABOZO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	A00012194	MD

General Provider Information

NPI Number	:	1760055859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELMY ANTONIA MACHADO ZARABOZO

Provider Business Mailing Address
First Line	:	1121 UNIVERSITY BLVD W APT 214B
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3317
Country	:	US
Telephone Number	:	240-277-5127
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 UNIVERSITY BLVD W APT 214B
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3317
Country	:	US
Telephone Number	:	240-277-5127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2021
Last Update Date	:	07/19/2021

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