Individual
KEONTE DONYELL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 P ST SW APT 1012, WASHINGTON, DC 20024-2943
(202) 704-1415
Mailing address
1456 4TH ST SW, WASHINGTON, DC 20024-2204
(202) 664-9678
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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