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Individual

JOAN LASAUNDRA QUEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2234 12TH ST NW, WASHINGTON, DC 20009-4404
(202) 667-4109
Mailing address
11080 WEYMOUTH CT APT 226, WALDORF, MD 20603-4592
(240) 346-7784

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
02/08/2020
Last updated
02/08/2020
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