Doctor Name: | MRS. CATHERINE CARELOCK |
NPI Number: | 1558729483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | HHA11668 |
Business Practice Address: | 4008 Clark St Capitol Heights, MD - 207435740 |
Business Phone Number: | 3017363237 |
Business Fax Number: | 3017363237 |
Mailing Address: | 4008 Clark St, CAPITOL HEIGHTS |
State: | MD |
Postal Code: | 207435740 |
Phone Number: | 3017363237 |
Fax Number: | 3017363237 |
NPI Enumeration Date: | 02/06/2016 |
NPI Last Update Date: | 02/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | HHA11668 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |