Individual
MARY LUCILLE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 M ST NW APT 816, WASHINGTON, DC 20005-5164
(202) 789-4252
Mailing address
3060 30TH ST SE APT 5, WASHINGTON, DC 20020-1650
(202) 903-8324
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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