Provider Demographics
NPI:1689325276
Name:SITHIO, GHISLAIN BRICE
Entity Type:Individual
Prefix:
First Name:GHISLAIN
Middle Name:BRICE
Last Name:SITHIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 PEAR TREE CT
Mailing Address - Street 2:
Mailing Address - City:ASPEN HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3620 PEAR TREE CT
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-5514
Practice Address - Country:US
Practice Address - Phone:202-717-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide