Provider Demographics
NPI:1831607753
Name:OKAH, JULIANA
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:OKAH
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 1:733 SLIGO AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4738
Mailing Address - Country:US
Mailing Address - Phone:651-497-9358
Mailing Address - Fax:
Practice Address - Street 1:733 SLIGO AVE APT 314
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4738
Practice Address - Country:US
Practice Address - Phone:651-497-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11732374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide