Individual
KEONA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1753 A ST SE, WASHINGTON, DC 20003-1618
(240) 838-2162
Mailing address
1753 A ST SE, WASHINGTON, DC 20003-1618
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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