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Individual

CHARLENE BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 ATLANTIC ST SE, WASHINGTON, DC 20032-3702
(202) 306-5893
Mailing address
2374 RAYNOLDS PL SE, WASHINGTON, DC 20020-3247

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/12/2019
Last updated
12/12/2019
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Product
  • Claims
  • Eligibility checks
  • EDI platform