Individual
JOETTA ITIVIS HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 BLAINE ST NE, WASHINGTON, DC 20019-1327
(202) 399-2966
Mailing address
2704 WADE RD SE APT 301, WASHINGTON, DC 20020-5951
(202) 704-7886
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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