Provider Demographics
NPI:1255977146
Name:MOHAMMED-GRAVES, SALENA ALENI
Entity type:Individual
Prefix:
First Name:SALENA
Middle Name:ALENI
Last Name:MOHAMMED-GRAVES
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 1:1310 42ND ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6006
Mailing Address - Country:US
Mailing Address - Phone:202-821-5596
Mailing Address - Fax:
Practice Address - Street 1:116 T ST NE APT 446
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-5132
Practice Address - Country:US
Practice Address - Phone:240-280-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant