Individual
PARADYSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 SOUTHERN AVE SE APT 302, WASHINGTON, DC 20032-4618
(202) 713-8558
Mailing address
5307 BROOK WAY, COLUMBIA, MD 21044
(202) 713-8558
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/19/2018
Last updated
11/27/2023
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