ROUSSAN JUNIOR ETIENNE

WASHINGTON, DC
NPI1710793021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-12-10
Last Update Date2024-12-12
Business Address
ROUSSAN JUNIOR ETIENNE PCA
101 G ST SW APT A109
WASHINGTON, DC 20024-4305
Phone number: 202-599-2554
Mailing Address
ROUSSAN JUNIOR ETIENNE PCA
3218 18TH ST NE
WASHINGTON, DC 20018-2418
Phone number: 202-938-5622