Provider Demographics
NPI:1972765170
Name:ATEM, EMILIA A
Entity Type:Individual
Prefix:PROF
First Name:EMILIA
Middle Name:A
Last Name:ATEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:803 G ST SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2474
Mailing Address - Country:US
Mailing Address - Phone:301-783-8703
Mailing Address - Fax:
Practice Address - Street 1:803 G ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2474
Practice Address - Country:US
Practice Address - Phone:301-783-8703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-28
Last Update Date:2008-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health