Individual
DEBRA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4683 BENNING RD SE, APT A, WASHINGTON, DC 20019-5196
(202) 517-4663
Mailing address
4683 BENNING RD SE, APT A, WASHINGTON, DC 20019-5196
(202) 517-4663
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37
—
DC
Enumeration date
03/29/2017
Last updated
03/29/2017
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