Individual
ASHANTI PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 21ST ST NE, WASHINGTON, DC 20002-4705
(202) 520-6858
Mailing address
417 21ST ST NE, WASHINGTON, DC 20002-4705
(202) 520-6858
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2992135
DRIVER LICENSE
DC
Enumeration date
02/20/2020
Last updated
02/21/2020
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