Individual
SHARESSE STERLINA PERRYRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 HAYES ST NE, WASHINGTON, DC 20019-1809
(818) 406-6985
Mailing address
4900 MINNESOTA AVE NE, WASHINGTON, DC 20019-3840
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7031163
—
DC
Enumeration date
09/20/2017
Last updated
09/20/2017
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