Individual
LIA DEVONA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 BLAINE ST NE, WASHINGTON, DC 20019-1327
(202) 399-2966
Mailing address
3756 HAYES ST NE APT 2, WASHINGTON, DC 20019-1729
(202) 281-6757
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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