Individual
TRACY PHILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 6TH PL NE, WASHINGTON, DC 20017-2203
(202) 569-4648
Mailing address
4502 6TH PL NE, WASHINGTON, DC 20017-2203
(202) 569-4648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
Primary
—
DC
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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