Individual
MS. SANDRA MARIE SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2038 34TH ST SE, WASHINGTON, DC 20020-2416
(202) 584-4842
Mailing address
219 BLACKBERRY DR, FORT WASHINGTON, MD 20744-5648
(301) 768-1515
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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