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WASHINGTON, DC
NPI1114898640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: DC  400324808924)
Enumeration Date2025-09-17
Last Update Date2025-09-17
Business Address
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1629 K ST NW STE 300
WASHINGTON, DC 20006-1631
Phone number: 240-439-0474
Mailing Address
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11526 STEWART LN APT B2
SILVER SPRING, MD 20904-2277
Phone number: 240-438-0474
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