Provider Demographics
NPI:1104437144
Name:MANSON-CELESTINE, JANET P
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:P
Last Name:MANSON-CELESTINE
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 1:9002 BREEZEWOOD TER APT 204
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1062
Mailing Address - Country:US
Mailing Address - Phone:240-462-2296
Mailing Address - Fax:
Practice Address - Street 1:3044 THAYER ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2505
Practice Address - Country:US
Practice Address - Phone:202-529-8472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care