Individual
LAETITIA N BASONDWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 CRITTENDEN ST NE, WASHINGTON, DC 20011-6719
(703) 589-8895
Mailing address
53 CRITTENDEN ST NE, WASHINGTON, DC 20011-6719
(703) 589-8895
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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