Provider Demographics
NPI:1699030304
Name:SWAY, ALOYCIA JONATHAN
Entity Type:Individual
Prefix:
First Name:ALOYCIA
Middle Name:JONATHAN
Last Name:SWAY
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 1:3305 CHILLUM ROAD
Mailing Address - Street 2:APT. # 301
Mailing Address - City:MT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712
Mailing Address - Country:US
Mailing Address - Phone:240-413-8951
Mailing Address - Fax:
Practice Address - Street 1:3305 CHILLUM ROAD
Practice Address - Street 2:APT. # 301
Practice Address - City:MT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712
Practice Address - Country:US
Practice Address - Phone:240-413-8951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide