MEDICARE: MS. AIZETTE C CARRINHO

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	3747A0650X	Attendant Care Provider	HCO-223003	VA

General Provider Information

NPI Number	:	1457666117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AIZETTE C CARRINHO

Provider Business Mailing Address
First Line	:	45662 TERMINAL DR. STE 200
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166
Country	:	US
Telephone Number	:	703-431-4706
Fax Number	:

Provider Business Practice Location Address
First Line	:	45662 TERMINAL DR. STE 200
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166-2823
Country	:	US
Telephone Number	:	703-431-4706
Fax Number	:

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

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	05/08/2023

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