Individual
ANTWAUN COUSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 SEATON PL NE, WASHINGTON, DC 20002-1506
(202) 907-5658
Mailing address
312 SEATON PL NE, WASHINGTON, DC 20002-1506
(202) 907-5658
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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