Provider Demographics
NPI:1740887520
Name:RILEY, MARILYN ARMANI
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:ARMANI
Last Name:RILEY
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 1:2723 FORT BAKER DR SE APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7267
Mailing Address - Country:US
Mailing Address - Phone:202-468-8342
Mailing Address - Fax:
Practice Address - Street 1:225 51ST ST NE APT 22
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5429
Practice Address - Country:US
Practice Address - Phone:202-492-7309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant