Individual
MS. GWENDOLYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
4301 23RD PKWY APT 601, TEMPLE HILLS, MD 20748-4459
(202) 341-8739
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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