Individual
KOWANNA ANTIONETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 W ST SE APT A104, WASHINGTON, DC 20020-4234
(240) 375-5142
Mailing address
1704 RHODESIA AVE, FORT WASHINGTON, MD 20744-3754
(240) 375-5142
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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