Individual
DORELLA NICOLE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 58TH ST NE, WASHINGTON, DC 20019-6847
(202) 250-0535
Mailing address
6107 BREEZEWOOD CT APT 303, GREENBELT, MD 20770-1114
(240) 840-6976
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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