Individual
EDWANDRA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 SARATOGA AVE NE, #11, WASHINGTON, DC 20018-1912
(202) 374-8584
Mailing address
1428 SARATOGA AVE NE, #11, WASHINGTON, DC 20018-1912
(202) 374-8584
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2490646
DC
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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