Individual
ANBREA DOMIKA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 T ST NE, WASHINGTON, DC 20002-1579
(240) 353-7469
Mailing address
3810 REGENCY PKWY APT 301, SUITLAND, MD 20746-3317
(240) 330-5653
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
M200067149234
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
DC
Enumeration date
11/06/2019
Last updated
11/06/2019
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