Individual
KEISHA TAMARA WALTON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(240) 764-9020
Mailing address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(240) 764-9020
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00194861
MD
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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