Individual
KEISHA LAVETTE BOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 RIDGE RD SE, WASHINGTON, DC 20019-3158
(202) 569-7619
Mailing address
28 RIDGE RD SE, WASHINGTON, DC 20019-3158
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14263
DC
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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