Individual
SIMMONITHA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 E ST SE, WASHINGTON, DC 20019-2246
(240) 432-0906
Mailing address
3109 E ST SE, WASHINGTON, DC 20019-2246
(240) 432-0906
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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