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1093116808
TYISHA MAXWELL
WASHINGTON, DC
NPI
1093116808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MD LP51385)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
-- TYISHA MAXWELL
7600 GEORGIA AVE NW SUITE 323
WASHINGTON, DC 20012-1616
Phone number: 202-723-3060
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Mailing Address
-- TYISHA MAXWELL
7600 GEORGIA AVE NW SUITE 323
WASHINGTON, DC 20012-1616
Phone number: 202-723-3060
Copy
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