Individual
ASHLEY KEYONA TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 S CAPITOL ST SW APT 525, WASHINGTON, DC 20032-1388
(202) 361-6914
Mailing address
4001 S CAPITOL ST SW APT 525, WASHINGTON, DC 20032-1388
(202) 361-6914
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
DC
Enumeration date
08/19/2022
Last updated
08/19/2022
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