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NPI Code Detail

MEDICARE: MADIA MONIQUE WEEMS

MEDICARE: MADIA MONIQUE WEEMS
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
1171M00000XCase Manager/Care Coordinator
2374U00000XHome Health Aide

General Provider Information

NPI Number : 1407116924
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADIA MONIQUE WEEMS
Provider Business Mailing Address
First Line : 1411 3RD ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20024-2907
Country : US
Telephone Number : 202-820-6878
Fax Number :
Provider Business Practice Location Address
First Line : 3000 PENNSYLVANIA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-3718
Country : US
Telephone Number : 202-581-0490
Fax Number : 202-581-0496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2012
Last Update Date : 06/29/2023

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Directions to “ MADIA MONIQUE WEEMS ” Practice Location

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