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NPI Code Detail

MEDICARE: TREASURE MAELEE CLARKE

MEDICARE:   TREASURE MAELEE CLARKE
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1033939517
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREASURE MAELEE CLARKE
Provider Business Mailing Address
First Line : 3516 13TH ST SE APT 2
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4426
Country : US
Telephone Number : 202-934-5119
Fax Number :
Provider Business Practice Location Address
First Line : 3340 5TH ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-5424
Country : US
Telephone Number : 202-285-6650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/10/2024

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Directions to “ TREASURE MAELEE CLARKE ” Practice Location

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