Individual
MAKETA REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
238 DIVISION AVE NE, WASHINGTON, DC 20019-5462
(202) 803-0656
Mailing address
254 DIVISION AVE NE, WASHINGTON, DC 20019-5462
(202) 652-1073
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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