Individual
CAROLYNN MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6149 1ST PL NE, WASHINGTON, DC 20011-1511
(202) 882-8128
Mailing address
6149 1ST PL NE, WASHINGTON, DC 20011-1511
(202) 882-8128
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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