Individual
JOANN LAKEISHA ELVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 18TH PL SE, WASHINGTON, DC 20020-6315
(202) 717-4074
Mailing address
2417 18TH PL SE, WASHINGTON, DC 20020-6315
(202) 717-4074
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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