Individual
STEPHANIE ANN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5117 C ST SE, WASHINGTON, DC 20019-6386
(202) 702-5669
Mailing address
5117 C ST SE, WASHINGTON, DC 20019-6386
(202) 702-5669
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/21/2012
Last updated
04/26/2024
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