Provider Demographics
NPI:1477814218
Name:TERFA, WUBIT KEMISO
Entity Type:Individual
Prefix:
First Name:WUBIT
Middle Name:KEMISO
Last Name:TERFA
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 1:10110 GEORGIA AVE
Mailing Address - Street 2:#201
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5656
Mailing Address - Country:US
Mailing Address - Phone:240-646-4822
Mailing Address - Fax:
Practice Address - Street 1:10110 GEORGIA AVE
Practice Address - Street 2:#201
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5656
Practice Address - Country:US
Practice Address - Phone:240-646-4822
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