Individual
MICHELL DENISE ADEWOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1949 4TH ST NE, WASHINGTON, DC 20002-1211
(202) 462-7500
(202) 462-2309
Mailing address
1949 4TH ST NE, WASHINGTON, DC 20002-1211
(202) 462-7500
(202) 462-2309
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LPN968433
DC
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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