Provider Demographics
NPI:1093556573
Name:MOTTO, UNICE OWARAI
Entity type:Individual
Prefix:
First Name:UNICE
Middle Name:OWARAI
Last Name:MOTTO
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 1:2705 BALSAM PL
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-3909
Mailing Address - Country:US
Mailing Address - Phone:240-791-8575
Mailing Address - Fax:
Practice Address - Street 1:2705 BALSAM PL
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-3909
Practice Address - Country:US
Practice Address - Phone:240-791-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide