Individual
ISATA BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
9769 GOOD LUCK RD APT 1, LANHAM, MD 20706-3333
(240) 701-9513
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15210
DC
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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