NPI 1235769852

Theresa Laverne Elliott

Practitioner Personal Care Attendant Waldorf, MD

Practice location

Address: 2292 Westwood Dr, Waldorf, MD 20601-3905
Phone: (202) 425-7616

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1235769852
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2020
Record last updated: 23 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.