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>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1780137075

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1355 PEABODY ST NW APT 305  WASHINGTON, DC 20011-1869 US
Tel: 202-848-8457  Fax: --

Contact information for business:
1355 PEABODY ST NW APT 305  WASHINGTON, DC 20011-1869 US
Tel: --  Fax: --

Registration Information:
NPI: 1780137075
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:



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