Provider Demographics
NPI:1063805653
Name:DOZIER, THEODORA
Entity type:Individual
Prefix:
First Name:THEODORA
Middle Name:
Last Name:DOZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 NAYLOR RD SE
Mailing Address - Street 2:APT 203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-1682
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3111 NAYLOR RD SE
Practice Address - Street 2:APT 203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1682
Practice Address - Country:US
Practice Address - Phone:202-847-0825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide