Individual
GWENDOLYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MINNESOTA AVE, 287, WASHINGTON, DC 20019
(202) 905-1789
Mailing address
3533 A ST SE APT 203, WASHINGTON, DC 20019-8352
(202) 905-1789
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2944049
—
DC
Enumeration date
03/19/2018
Last updated
03/28/2018
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