Provider Demographics
NPI:1568116689
Name:KLOSI, ETTA CALA
Entity Type:Individual
Prefix:MS
First Name:ETTA
Middle Name:CALA
Last Name:KLOSI
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 1:2727 ADAMS MILL RD NW APT 303
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2111
Mailing Address - Country:US
Mailing Address - Phone:202-344-0558
Mailing Address - Fax:
Practice Address - Street 1:2727 ADAMS MILL RD NW APT 303
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2111
Practice Address - Country:US
Practice Address - Phone:202-344-0558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant