Provider Demographics
NPI:1184988412
Name:MELESE, MULUWORK D
Entity type:Individual
Prefix:
First Name:MULUWORK
Middle Name:D
Last Name:MELESE
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 1:901 VARNUM ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7135
Mailing Address - Country:US
Mailing Address - Phone:202-446-7784
Mailing Address - Fax:
Practice Address - Street 1:901 VARNUM ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7135
Practice Address - Country:US
Practice Address - Phone:202-446-7784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide