Individual
SHANITA R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 NEWCOMB ST SE, WASHINGTON, DC 20032-2638
(202) 563-1987
Mailing address
5711 FOOTE ST NE, WASHINGTON, DC 20019-6934
(202) 486-4761
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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