Individual
AVONTE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4339 BOWEN RD SE # E202, WASHINGTON, DC 20019-5600
(202) 455-4461
Mailing address
6008 MARDELLA BLVD, CLINTON, MD 20735-2254
(202) 569-6811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
DC
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/24/2023
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