Individual
PETRONILA RODRIGUEZ DE MERCEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 VAN BUREN ST NW, WASHINGTON, DC 20012-2147
(202) 469-9336
Mailing address
12 VAN BUREN ST NW, WASHINGTON, DC 20012-2147
(202) 469-9336
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057740765
PERMANENT RESIDENT
DC
Enumeration date
07/06/2021
Last updated
07/06/2021
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