Individual
LATRESE BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 MAINE AVE SW APT E722, WASHINGTON, DC 20024-3447
(202) 706-9656
Mailing address
1015 WAHLER PL SE, WASHINGTON, DC 20032-4332
(240) 370-0485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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