Provider Demographics
NPI:1477914778
Name:SOLOMON, BRENDA ONEGE (HHA)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:ONEGE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HHA
Mailing Address - Street 1:13832 CASTLE BLVD APT 203
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7368
Mailing Address - Country:US
Mailing Address - Phone:240-423-4068
Mailing Address - Fax:
Practice Address - Street 1:13832 CASTLE BLVD APT 203
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7368
Practice Address - Country:US
Practice Address - Phone:240-423-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA1777374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide