Healthcare Provider Details

I. General information

NPI: 1396156840
Provider Name (Legal Business Name): VICTORIA OKAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 SLIGO AVE APT 416
SILVER SPRING MD
20910-4751
US

IV. Provider business mailing address

735 SLIGO AVE APT 416
SILVER SPRING MD
20910-4751
US

V. Phone/Fax

Practice location:
  • Phone: 916-420-5487
  • Fax:
Mailing address:
  • Phone: 916-420-5487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA10562
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: