Individual
COBERTHA BIZZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 VERMONT AVE NW, WASHINGTON, DC 20005-4902
(844) 381-4432
Mailing address
911 VARNEY ST SE UNIT A, WASHINGTON, DC 20032-4329
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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