Individual
CHANEL BRIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 18TH ST SE, WASHINGTON, DC 20020-6314
(202) 615-5438
Mailing address
3209 28TH ST SE APT 2, WASHINGTON, DC 20020-1838
(202) 615-5438
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
HHA12933
—
Other
Enumeration date
03/18/2019
Last updated
05/15/2024
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