Provider Demographics
NPI:1649779240
Name:WOSU, REMY (LPN)
Entity Type:Individual
Prefix:
First Name:REMY
Middle Name:
Last Name:WOSU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7854 BRIARDALE TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2074
Mailing Address - Country:US
Mailing Address - Phone:240-683-8825
Mailing Address - Fax:
Practice Address - Street 1:7854 BRIARDALE TER
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2074
Practice Address - Country:US
Practice Address - Phone:240-683-8825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care