Individual
PEARL FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 63RD ST NE, WASHINGTON, DC 20019-7910
(202) 583-1554
Mailing address
228 63RD ST NE, WASHINGTON, DC 20019-7910
(202) 583-1554
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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