Individual
AVERYON COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4339 BOWEN RD SE APT 202, WASHINGTON, DC 20019-5637
(202) 997-5930
Mailing address
6008 MARDELLA BLVD, CLINTON, MD 20735-2254
(304) 726-6852
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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