Individual
FREDRICK KINYATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3723 24TH ST NE, WASHINGTON, DC 20018-3152
(202) 997-4395
Mailing address
3723 24TH ST NE, WASHINGTON, DC 20018-3152
(202) 997-4395
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1394871
—
DC
Enumeration date
09/20/2017
Last updated
07/21/2022
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