Most Relevant Information
Provider Data
| NPI Number: | 1003466244 |
| Provider Name: | ESTHER ENID DOUGLAS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA14603 |
Most Important Dates
| Enumeration Date: | 09/19/2019 |
| Last Updated: | 09/19/2019 |
Provider Practice Location
2010 PAULETTE RD APT 204
DUNDALK
MD
212225861
Practice Location Phone/Fax
| Phone: | 2028405088 |
| Fax: |
Provider Mailing Location
1220 12TH ST SE STE G35
WASHINGTON
DC
200033738
Provider Mailing Phone/Fax
| Phone: | 2025448090 |
| Fax: | 2025448091 |