Individual
ETHEL PEARL FAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 STANTON RD SE # E201, WASHINGTON, DC 20020-7855
(202) 568-3077
Mailing address
721 DELAFIELD ST NE, WASHINGTON, DC 20017-2349
(202) 971-0040
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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