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1114575347
JOETTA ITIVIS HERNDON
WASHINGTON, DC
NPI
1114575347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
JOETTA ITIVIS HERNDON
3348 BLAINE ST NE
WASHINGTON, DC 20019-1327
Phone number: 202-399-2966
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Mailing Address
JOETTA ITIVIS HERNDON
2704 WADE RD SE APT 301
WASHINGTON, DC 20020-5951
Phone number: 202-704-7886
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