Individual
ANTHONY LEE COUSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4202 13TH ST NW, WASHINGTON, DC 20011-5616
(202) 644-6772
Mailing address
4202 13TH ST NW APT 102, WASHINGTON, DC 20011-5644
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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