Individual
LATISHA MACKALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 QUEEN ST NE, WASHINGTON, DC 20002-2524
(202) 351-2494
Mailing address
1524 QUEEN ST NE, WASHINGTON, DC 20002-2524
(202) 351-2494
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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