Individual
RICKIE JOYCE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 16TH ST NE APT 2014, WASHINGTON, DC 20002-6556
(202) 487-7476
Mailing address
5509 BASS PL SE, WASHINGTON, DC 20019-6381
(202) 487-7476
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1931383
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC
—
DC
Enumeration date
02/17/2021
Last updated
02/17/2021
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