Individual
LAVIDA MARIE DUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 BENNING RD NE APT A, WASHINGTON, DC 20002-7267
(202) 883-0532
Mailing address
1734 BENNING RD NE APT A, WASHINGTON, DC 20002-7267
(202) 883-0532
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13927
DC
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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