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Alefiyah Khuzema Adam

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as ALEFIYAH ADAM.

Based on the most recent information from CMS, provider Alefiyah Khuzema Adam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1174115588
Provider Type
Individual
Full Name
Adam, Alefiyah Khuzema
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/7/2021
Last Updated
2/7/2021

Contact Information

Practice Location

507 N 17th Street, Milwaukee, WI 53233

(414) 288-5688

Unlisted Fax

Mailing Location

507 N 17th Street, Milwaukee, WI 53233

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alefiyah Khuzema Adam

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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