Dorella Nicole Fountain
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1043855893
StatusActive
Last updated in NPPESNov 14, 2019
Details
- NPI
- 1043855893
- Entity type
- Individual (NPI-1)
- Name
- Dorella Nicole Fountain
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2019
- Last updated
- Nov 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Other names
- Dorella Brown (Former Name)
Practice location
248 58th St NeWashington, DC 20019-6847
Phone 202-250-0535
Mailing address
6107 Breezewood Ct Apt 303Greenbelt, MD 20770-1114
Phone 240-840-6976
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