Provider Demographics
NPI:1174298871
Name:ENOS EDU, SYLVIA AMA
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:AMA
Last Name:ENOS EDU
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 1:15829 DEER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5359
Mailing Address - Country:US
Mailing Address - Phone:240-595-7513
Mailing Address - Fax:
Practice Address - Street 1:5724 3RD PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2001
Practice Address - Country:US
Practice Address - Phone:202-726-0092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide