Provider Demographics
NPI:1396006151
Name:AMINATEH, ETHEL BEZEJOUH
Entity Type:Individual
Prefix:
First Name:ETHEL
Middle Name:BEZEJOUH
Last Name:AMINATEH
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 1:6002 SPRINGHILL DR
Mailing Address - Street 2:APT 204
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3108
Mailing Address - Country:US
Mailing Address - Phone:301-537-9689
Mailing Address - Fax:
Practice Address - Street 1:6002 SPRINGHILL DR
Practice Address - Street 2:APT 204
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3108
Practice Address - Country:US
Practice Address - Phone:301-537-9689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide