Provider Demographics
NPI:1588346324
Name:VERECE, WAILANI MEA MOKEHAND
Entity type:Individual
Prefix:
First Name:WAILANI
Middle Name:MEA MOKEHAND
Last Name:VERECE
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 1:801 S POTOMAC ST APT 13
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6468
Mailing Address - Country:US
Mailing Address - Phone:240-382-4270
Mailing Address - Fax:
Practice Address - Street 1:801 S POTOMAC ST APT 13
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6468
Practice Address - Country:US
Practice Address - Phone:240-382-4270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant