Individual
ASHLEY BOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 DOUGLAS PLACE SE, WASHINGTON, DC 20020
(202) 243-8460
Mailing address
2703 DOUGLAS PLACE SE, WASHINGTON, DC 20020
(202) 243-8460
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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