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Individual

SHANTAE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1434 SARATOGA AVE NE APT 3, WASHINGTON, DC 20018-1909
(202) 300-0947
Mailing address
2320 N CAPITOL ST NW, WASHINGTON, DC 20002-1106
(202) 607-4050

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
DC

Other

Enumeration date
03/21/2023
Last updated
03/21/2023
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