Individual
MICHELLE LISANN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 MONTANA AVE NE, WASHINGTON, DC 20018-3412
(202) 629-2998
Mailing address
2405 VIDALIA CT, WALDORF, MD 20601-3781
(202) 290-6821
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70171308
—
DC
Enumeration date
04/04/2018
Last updated
10/05/2023
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