KENNISHA AVONTIA MADDOX

WASHINGTON, DC
NPI1790415289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-06-16
Last Update Date2022-06-16
Business Address
KENNISHA AVONTIA MADDOX
2656 BOWEN RD SE APT 202
WASHINGTON, DC 20020-6612
Phone number: 202-718-6501
Mailing Address
KENNISHA AVONTIA MADDOX
3201 WEEPING WILLOW CT APT 24
SILVER SPRING, MD 20906-2569
Phone number: 240-455-8054