Individual
MRS. WANDA CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4856 BROOKS ST NE, WASHINGTON, DC 20019-4656
(301) 448-2684
Mailing address
2628 22ND ST NE, WASHINGTON, DC 20018-2124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R16654
MD
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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