Individual
ETHEL PELOTE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
2301 11TH ST NW APT 504, WASHINGTON, DC 20001-2223
(202) 285-5532
Mailing address
1923 GLENDORA DR, DISTRICT HEIGHTS, MD 20747-1852
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297383
—
DC
Enumeration date
10/30/2017
Last updated
10/30/2017
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