Individual
DEDRA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4638 HST SE, 206, WASHINGTON, DC 20019
(202) 621-8588
Mailing address
1429 MONTANA AVE NE # M3, WASHINGTON, DC 20018-3427
(202) 489-2566
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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