Individual
HEATHER MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
4801 PISTACHIO LN, CAPITOL HEIGHTS, MD 20743-5334
(240) 882-8135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/13/2023
Last updated
09/07/2023
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