Individual
ACHA EPSE ATUD TIFUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENSYLVANNIA AVE SE LL, WASHINGTON, DC 20020
(202) 894-6811
Mailing address
8619 ANNAPOLIS RD APT 102, NEW CARROLLTON, MD 20784-3104
(240) 505-2104
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15727
DC
Other
Enumeration date
03/23/2021
Last updated
05/16/2025
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