Individual
ESSIVI FOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 291-7226
Mailing address
3155 QUEENS CHAPEL RD, MOUNT RAINIER, MD 20712-1176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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