Individual
FANTA BOAKAI SHERIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 12TH STREET SE, WASHINGTON, DC 20003
(202) 544-8090
Mailing address
4822 8TH ST NE, WASHINGTON, DC 20017-3903
(202) 460-4253
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
13723
DC
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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