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Individual

ALYSE M HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3505 JAY ST NE APT 102, WASHINGTON, DC 20019-1638
(202) 423-8468
Mailing address
3772 HAYES ST NE APT 5, WASHINGTON, DC 20019-1737
(202) 689-9428

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2965842
DC
Enumeration date
05/08/2019
Last updated
05/08/2019
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