Individual
CHAUNTESE JAMELLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5348 E ST SE APT 204, WASHINGTON, DC 20019-6044
(202) 856-5518
Mailing address
1712 W ST SE APT 13, WASHINGTON, DC 20020-4242
(202) 417-4458
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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