Individual
MONIQUE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3121 20TH ST SE, WASHINGTON, DC 20020-2803
(202) 817-3613
Mailing address
2249 SAVANNAH TER SE APT 22, WASHINGTON, DC 20020-2015
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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