Individual
TAWANA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 FAIRMONT ST NW, WASHINGTON, DC 20001-3813
(202) 365-6357
Mailing address
1313 NEW YORK AVE NW BSMT, WASHINGTON, DC 20005-4701
(202) 247-1416
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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