Individual
LATRE L LAWSON-SISSIBLISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 ADDISON RD, CAPITOL HEIGHTS, MD 20743-1003
(202) 541-9844
Mailing address
4635 DALLAS PL APT 101, TEMPLE HILLS, MD 20748-3351
(908) 265-8774
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00220267
MD
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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