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Individual

CONSQUELLA REENA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4209 E CAPITOL ST SE APT 4, WASHINGTON, DC 20019-4473
(202) 271-6641
Mailing address
1307 COLUMBIA RD NW APT 204, WASHINGTON, DC 20009-4935
(202) 594-0906

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/27/2021
Last updated
09/27/2021
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