Individual
KECIA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5508 13TH ST NW, WASHINGTON, DC 20011-3502
(301) 346-1831
Mailing address
727 CHILLUM RD, HYATTSVILLE, MD 20783-3334
(240) 478-5829
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
01/29/2022
Last updated
09/13/2024
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