Provider Demographics
NPI:1700147055
Name:DOOH MBELLA, CARINE (HHA)
Entity Type:Individual
Prefix:
First Name:CARINE
Middle Name:
Last Name:DOOH MBELLA
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 FORT STEVENS DR NW APT 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5043
Mailing Address - Country:US
Mailing Address - Phone:202-230-7097
Mailing Address - Fax:
Practice Address - Street 1:1339 FORT STEVENS DR NW APT 304
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5043
Practice Address - Country:US
Practice Address - Phone:202-230-7097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide