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Gwendolyn Green

Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).

NPI number1245037589
StatusActive
Last updated in NPPESFeb 25, 2025

Details

NPI
1245037589
Entity type
Individual (NPI-1)
Name
Gwendolyn Green
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 25, 2025
Certification date
Feb 25, 2025
Last updated
Feb 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

5422 Call Pl Se
Washington, DC 20019-6343

Phone 202-826-3048

Mailing address

5422 Call Pl Se
Washington, DC 20019-6343

Phone 202-826-3048

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