Individual
DAVIDETTA KOMEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 KANSA AVE NW, WASHINGTON, DC 20011-3118
(202) 722-7776
(202) 722-7785
Mailing address
6120 KANSA AVE NW, WASHINGTON, DC 20011-3118
(202) 722-7776
(202) 722-7785
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA9485
DC
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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