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NPI Code Detail

MEDICARE: MISRAK ANOLO

MEDICARE: MISRAK ANOLO
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1104181502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISRAK ANOLO
Provider Business Mailing Address
First Line : 7826 EASTERN AVE NW STE LL16
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-1328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7826 EASTERN AVE NW STE LL16
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-1328
Country : US
Telephone Number : 202-723-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 07/11/2012

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Directions to “ MISRAK ANOLO ” Practice Location

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