Individual
CONNESHIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 BRYAN PL SE, WASHINGTON, DC 20020-4433
(240) 388-2881
Mailing address
2401 BRYAN PL SE, WASHINGTON, DC 20020-4433
(240) 388-2881
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
DC
Enumeration date
09/24/2019
Last updated
09/24/2019
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