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Individual

EVELYN BROWN WHITELOCKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
652 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(301) 326-3773
Mailing address
652 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(301) 326-3773

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
A00131393
MD
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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