Provider Demographics
NPI:1649531690
Name:AKA, MARIANA E
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:E
Last Name:AKA
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 1:7867 RIVERDALEV RD APT # T3
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784
Mailing Address - Country:US
Mailing Address - Phone:202-705-0335
Mailing Address - Fax:
Practice Address - Street 1:7867 RIVERDALEV RD APT # T3
Practice Address - Street 2:
Practice Address - City:NEW CARROLTON
Practice Address - State:MD
Practice Address - Zip Code:20784
Practice Address - Country:US
Practice Address - Phone:202-705-0335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide