Individual
KATRICE WALLACE'REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 CAPITOL HEIGHTS BLVD, CAPITOL HEIGHTS, MD 20743-2901
(202) 722-7776
Mailing address
634 CAPITOL HEIGHTS BLVD, CAPITOL HEIGHTS, MD 20743-2901
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
07/22/2016
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