Individual
MYISHA NICOLE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 STANLEY ST SE, WASHINGTON, DC 20019-5629
(202) 836-5335
Mailing address
PO BOX 91953, WASHINGTON, DC 20090-1953
(202) 836-5335
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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