Individual
PAMELA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 BATES ST NW, WASHINGTON, DC 20001-1114
(202) 256-6866
Mailing address
1200 N CAPITOL ST NW APT C609, WASHINGTON, DC 20002-7565
(202) 256-6866
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071066457
—
DC
05
—
45095883
—
DC
Enumeration date
10/19/2022
Last updated
10/20/2023
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