Individual
ROUSSAN JUNIOR ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
101 G ST SW APT A109, WASHINGTON, DC 20024-4305
(202) 599-2554
Mailing address
3218 18TH ST NE, WASHINGTON, DC 20018-2418
(202) 938-5622
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/12/2024
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