Provider Demographics
NPI:1588916241
Name:OUMER, TUBA MOHAMMED
Entity type:Individual
Prefix:
First Name:TUBA
Middle Name:MOHAMMED
Last Name:OUMER
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 1:563 WILSON BRIDGE RD
Mailing Address - Street 2:C2
Mailing Address - City:OXIN HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745
Mailing Address - Country:US
Mailing Address - Phone:202-525-9655
Mailing Address - Fax:
Practice Address - Street 1:563 WILSON BRIDGE DR
Practice Address - Street 2:C2
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1809
Practice Address - Country:US
Practice Address - Phone:202-525-9655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide