Individual
MS. LAVORIS ANTONITTA INGRAMBUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 BENNING RD SE APT 4, WASHINGTON, DC 20019-5102
(202) 580-4081
Mailing address
3326 CHAUNCEY PL APT 301, MOUNT RAINIER, MD 20712-1028
(202) 607-7187
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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