Provider Demographics
NPI:1376965764
Name:AYUK, VALERY
Entity Type:Individual
Prefix:
First Name:VALERY
Middle Name:
Last Name:AYUK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 C J BARNEY DR NE
Mailing Address - Street 2:APT 102
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4412
Mailing Address - Country:US
Mailing Address - Phone:202-705-5127
Mailing Address - Fax:
Practice Address - Street 1:3512 C J BARNEY DR NE
Practice Address - Street 2:APT 102
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4412
Practice Address - Country:US
Practice Address - Phone:202-705-5127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide