Individual
LA TASHA GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6007 SAINT MORITZ DR APT 203, TEMPLE HILLS, MD 20748-6452
(202) 258-0487
Mailing address
6007 SAINT MORITZ DR APT 203, TEMPLE HILLS, MD 20748-6452
(202) 258-0487
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
11/01/2023
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