Individual
MELONY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 2ND ST SW, WASHINGTON, DC 20032-1338
(202) 561-8974
Mailing address
5309 REDD LN, TEMPLE HILLS, MD 20748-3909
(202) 215-5220
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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