Provider Demographics
NPI:1508231028
Name:ALIMA, PHILOMINA
Entity Type:Individual
Prefix:
First Name:PHILOMINA
Middle Name:
Last Name:ALIMA
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 1:1829 1/2 CHANNING ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1326
Mailing Address - Country:US
Mailing Address - Phone:240-481-3597
Mailing Address - Fax:
Practice Address - Street 1:1829 1/2 CHANNING ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1326
Practice Address - Country:US
Practice Address - Phone:240-481-3597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide