Individual
LADONNA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 W ST SE APT F105, WASHINGTON, DC 20020-4234
(202) 760-9345
Mailing address
1728 W ST SE APT F105, WASHINGTON, DC 20020-4234
(202) 760-9345
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0194HHA
DC
Other
Enumeration date
05/29/2012
Last updated
04/25/2018
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