Provider Demographics
NPI:1467714287
Name:EMOW, EMELIA AYA
Entity Type:Individual
Prefix:
First Name:EMELIA
Middle Name:AYA
Last Name:EMOW
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 1:14221 GEORGIA AVE
Mailing Address - Street 2:#102
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2724
Mailing Address - Country:US
Mailing Address - Phone:301-755-7581
Mailing Address - Fax:
Practice Address - Street 1:14221 GEORGIA AVE
Practice Address - Street 2:#102
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2724
Practice Address - Country:US
Practice Address - Phone:301-755-7581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDE500229027939374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide