Phillis Fenwick
Home Health Aide in Washington, DC. Individual provider (NPI-1).
NPI number1669907747
StatusActive
Last updated in NPPESApr 26, 2017
Details
- NPI
- 1669907747
- Entity type
- Individual (NPI-1)
- Name
- Phillis Fenwick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2017
- Last updated
- Apr 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | HHA12010 | DC | Yes |
Practice location
2418 Elvans Rd SeApt 202
Washington, DC 20020-3585
Phone 202-446-6578
Mailing address
2418 Elvans Rd SeApt 202
Washington, DC 20020-3585
Phone 202-446-6578
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