Individual
MILLICENT DANIELLE EVERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 SOUTHGATE DR, TEMPLE HILLS, MD 20748-6532
(202) 629-7104
Mailing address
6109 SOUTHGATE DR, TEMPLE HILLS, MD 20748-6532
(202) 629-7104
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70661977
—
DC
Enumeration date
10/30/2012
Last updated
10/30/2012
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