Individual
LUZ VIVIANA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 15TH ST NW APT 211, WASHINGTON, DC 20009-4112
(202) 425-7375
Mailing address
2445 15TH ST NW APT 211, WASHINGTON, DC 20009-4112
(202) 425-7375
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
11/09/2021
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