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Individual

MARLISSA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3258 15TH PL SE, WASHINGTON, DC 20020-2931
(240) 334-1188
Mailing address
3258 15TH PL SE, WASHINGTON, DC 20020-2931

Taxonomy

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

Other

Enumeration date
04/19/2019
Last updated
04/19/2019
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