Individual
DESTINI MONAY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
896 SOUTHERN AVE SE APT 203, WASHINGTON, DC 20032-3454
(202) 834-7140
Mailing address
15408 BEALLE HILL RD, ACCOKEEK, MD 20607-9546
(240) 722-9909
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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