Provider Demographics
NPI:1033661137
Name:SECKA, ROKIE R
Entity Type:Individual
Prefix:MS
First Name:ROKIE
Middle Name:R
Last Name:SECKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 FULLER ST NW APT 204
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5646
Mailing Address - Country:US
Mailing Address - Phone:202-262-5881
Mailing Address - Fax:
Practice Address - Street 1:1630 FULLER ST NW APT 204
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5646
Practice Address - Country:US
Practice Address - Phone:202-262-5881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA00800417251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health