Individual
ANDRE DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 CORCORAN ST NE APT 204, WASHINGTON, DC 20002-2286
(202) 569-3572
Mailing address
1720 CORCORAN ST NE APT 204, WASHINGTON, DC 20002-2286
(202) 569-3572
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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