Individual
LAVERNE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 FAIRMONT ST NW APT 107, WASHINGTON, DC 20009-6901
(202) 798-9374
Mailing address
2006 WEDGEWOOD PL APT A, WALDORF, MD 20602-2305
(240) 432-8331
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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