Individual
DRAYDESE C WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 TALL OAK DR, TEMPLE HILLS, MD 20748-3914
(301) 318-1559
Mailing address
6802 TALL OAK DR, TEMPLE HILLS, MD 20748-3914
(301) 318-1559
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510078880021
—
VA
Enumeration date
07/06/2018
Last updated
07/06/2018
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