Individual
TABITHA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BATES ST NW, WASHINGTON, DC 20001-1112
(202) 262-4412
Mailing address
5620 COLORADO AVE NW, WASHINGTON, DC 20011-7807
(202) 695-0709
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70303228
—
DC
Enumeration date
04/18/2018
Last updated
04/18/2018
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