Individual
CHAJUANA LEOLA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 36TH ST NE, WASHINGTON, DC 20019-2602
(202) 629-6884
Mailing address
1623 1ST ST NW # A16231, WASHINGTON, DC 20001-1101
(202) 938-5140
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4227085
DC
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4227085
IDENTIFICATION NUMBER
DC
Enumeration date
06/11/2020
Last updated
08/15/2023
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