Individual
TAKEISHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
Mailing address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000811352
DC
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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