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Individual

DENISE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2401 BRYAN PL S.E, WASHINGTON, DC 20020
(202) 867-9863
Mailing address
2401 BRYAN PL SE, WASHINGTON, DC 20020-4433
(202) 867-9863

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3747P1801X
DC
Enumeration date
09/24/2019
Last updated
09/24/2019
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