Provider Demographics
NPI:1083258297
Name:MOHAMMED, ZEYNIA F (CERETEFICATE)
Entity Type:Individual
Prefix:
First Name:ZEYNIA
Middle Name:F
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:CERETEFICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12802 EPPING TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3868
Mailing Address - Country:US
Mailing Address - Phone:202-256-7419
Mailing Address - Fax:
Practice Address - Street 1:12802 EPPING TER
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3868
Practice Address - Country:US
Practice Address - Phone:202-256-7419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA8245374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide