Individual
ANTIONETTE COUSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 58TH ST SE, WASHINGTON, DC 20019-6546
(267) 970-1069
Mailing address
107 58TH ST SE, WASHINGTON, DC 20019-6546
(267) 970-1069
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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