Individual
JOSEPHA LESLY BERRYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SCHOOL ST SW STE 200, WASHINGTON, DC 20024-2774
(703) 310-7336
Mailing address
3318 DODGE PARK RD APT 204, HYATTSVILLE, MD 20785-2114
(240) 440-9582
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12951
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42804282000
—
MD
Enumeration date
09/05/2017
Last updated
09/05/2017
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