Individual
MALITA LYNN CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W ST NE # 304, WASHINGTON, DC 20002-1249
(240) 988-8345
Mailing address
419 W ST NE # 304, WASHINGTON, DC 20002-1249
(240) 988-8345
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2556487
—
DC
Enumeration date
11/10/2020
Last updated
11/10/2020
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