Individual
THERESA LAVERNE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2292 WESTWOOD DR, WALDORF, MD 20601-3905
(202) 425-7616
Mailing address
2292 WESTWOOD DR, WALDORF, MD 20601-3905
(202) 425-7616
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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