Individual
KIDIST DEBREWORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 12TH ST NW APT 502, WASHINGTON, DC 20005-4332
(571) 426-0196
Mailing address
1220 12TH ST NW APT 502, WASHINGTON, DC 20005-4332
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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