Individual
EVETTA M SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4609 E CAPITOL ST SE, WASHINGTON, DC 20019-5240
(202) 361-2429
Mailing address
3733 GRANT PL NE, WASHINGTON, DC 20019-1872
(202) 768-3116
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1337271
LISENCE
DC
Enumeration date
05/28/2025
Last updated
06/11/2025
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