Individual
BIANCA PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 36TH ST NE, WASHINGTON, DC 20019-2602
(240) 353-0935
Mailing address
111 36TH ST NE, WASHINGTON, DC 20019-2602
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14573
DC
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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