Individual
BOSE BETTY MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW STE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710257589
—
DC
Enumeration date
01/10/2012
Last updated
03/28/2018
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