Individual
JOHNNIE NATHANIEL DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5838 SOUTHERN AVE SE, WASHINGTON, DC 20019-6552
(240) 893-2963
Mailing address
4108 CANTERBURY WAY, TEMPLE HILLS, MD 20748-3409
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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