Individual
PERONETTE NDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 EDGEWOOD ST NE, WASHINGTON, DC 20017-4261
(202) 910-4733
Mailing address
611 EDGEWOOD ST NE, WASHINGTON, DC 20017-4261
(202) 910-4733
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MD
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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