Individual
GUSTINA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2112 4TH ST NE, WASHINGTON, DC 20002-1216
(202) 882-9312
Mailing address
2112 4TH ST NE, WASHINGTON, DC 20002-1216
(202) 882-9312
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HHAA9970
DC
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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