Individual
TAPPI SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
(202) 388-4339
Mailing address
5604 CHILLUM PL NE APT 103, WASHINGTON, DC 20011-6234
(202) 856-0293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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