Individual
CAROLYN GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 DIX ST NE APT B2, WASHINGTON, DC 20019-3451
(202) 247-6683
Mailing address
3516 6TH ST SE APT 9, WASHINGTON, DC 20032-3841
(202) 247-6683
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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