MEDICARE: RYIA CAMYRI CORBIN

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1720776040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYIA CAMYRI CORBIN

Provider Business Mailing Address
First Line	:	208 58TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-6824
Country	:	US
Telephone Number	:	240-788-1663
Fax Number	:

Provider Business Practice Location Address
First Line	:	4628 REED TER SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-5729
Country	:	US
Telephone Number	:	240-788-1663
Fax Number	:

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

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	04/25/2023

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Directions to “ RYIA CAMYRI CORBIN ” Practice Location

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