Individual
TANISHA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 VARNEY ST SE UNIT B, WASHINGTON, DC 20032-4330
(301) 728-2816
Mailing address
5278 MARLBORO PIKE APT 304, CAPITOL HEIGHTS, MD 20743-5468
(301) 728-2816
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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