Provider Demographics
NPI:1245766419
Name:COUSIN, MEEKA
Entity Type:Individual
Prefix:MS
First Name:MEEKA
Middle Name:
Last Name:COUSIN
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 1:1011 CONSTITUTION AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6223
Mailing Address - Country:US
Mailing Address - Phone:202-536-9574
Mailing Address - Fax:
Practice Address - Street 1:1011 CONSTITUTION AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6223
Practice Address - Country:US
Practice Address - Phone:202-536-9574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant