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Individual

ASHANTI GEVALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1101 EUCLID ST NW, APT #45, WASHINGTON, DC 20009-5331
(202) 415-1023
Mailing address
1101 EUCLID ST NW, APT #45, WASHINGTON, DC 20009-5331

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2844065
DC

Other

Enumeration date
04/09/2012
Last updated
03/28/2018
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