Basic Information
| Provider Information | |||||||||
| NPI: | 1265792618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKARE | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5800 ANNAPOLIS RD | ||||||||
| Address2: | |||||||||
| City: | BLADENSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207102005 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1818 NEW YORK AVE NE | ||||||||
| Address2: | SUITE #228 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200021848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028328340 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2012 | ||||||||
| LastUpdateDate: | 05/19/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374U00000X | Y | Nursing Service Related Providers | Home Health Aide |
No ID Information.