Healthcare Provider Details

I. General information

NPI: 1336005974
Provider Name (Legal Business Name): JONIQUA LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 5TH ST SE APT 112
WASHINGTON DC
20003-4502
US

IV. Provider business mailing address

64 H ST SW APT 950
WASHINGTON DC
20024-0429
US

V. Phone/Fax

Practice location:
  • Phone: 202-554-0237
  • Fax:
Mailing address:
  • Phone: 202-758-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: