Individual
LATILL MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 GALVESTON ST SW, APT T1, WASHINGTON, DC 20032-1987
(202) 677-9021
Mailing address
82 GALVESTON ST SW, APT T1, WASHINGTON, DC 20032-1987
(202) 677-9021
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/07/2016
Last updated
10/18/2023
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