Individual
SPARKLE S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 16TH ST NW, WASHINGTON, DC 20009-6753
(202) 415-7236
Mailing address
860 SOUTHERN AVE SE APT 401, WASHINGTON, DC 20032-3435
(202) 425-1035
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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