Provider Demographics
NPI:1881305878
Name:ADELINA, GLORIA ARMANDO
Entity type:Individual
Prefix:
First Name:GLORIA ARMANDO
Middle Name:
Last Name:ADELINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 TAYLOR ST NE APT 32B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1581
Mailing Address - Country:US
Mailing Address - Phone:202-679-1063
Mailing Address - Fax:
Practice Address - Street 1:410 TAYLOR ST NE APT 32B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1581
Practice Address - Country:US
Practice Address - Phone:202-679-1063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide