Individual
ADELINE TAKENDO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 JEFFERSON STREET NW, WASHINGTON DC, DC 20011
(240) 413-0324
Mailing address
716 JEFFERSON ST NW, WASHINGTON, DC 20011-7720
(240) 413-0324
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12474
DC
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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