Provider Demographics
NPI:1255000881
Name:JIRRU, AYNALEM W
Entity Type:Individual
Prefix:
First Name:AYNALEM
Middle Name:W
Last Name:JIRRU
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 1:1502 CAREY LN APT 231
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3007
Mailing Address - Country:US
Mailing Address - Phone:240-715-7807
Mailing Address - Fax:
Practice Address - Street 1:1502 CAREY LN APT 231
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3007
Practice Address - Country:US
Practice Address - Phone:240-715-7807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health