Individual
BIANCA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 AMES ST NE, WASHINGTON, DC 20019-3357
(202) 397-8845
Mailing address
566 24TH ST NE, WASHINGTON, DC 20002-4818
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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