Individual
LATISHA RUBY BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 BRENTWOOD PKWY NE, WASHINGTON, DC 20002-2220
(202) 871-8635
Mailing address
1800 RYDERWOOD CT, LANDOVER, MD 20785-3977
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/04/2017
Last updated
08/07/2024
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