NPI 1508111717

Treatment 1

Organisation Contractor Washington, DC

Practice location

Address: 2431 25th St SE APT 1, Washington, DC 20020-3467
Phone: (202) 390-8043

Authorised official

Name: Kaleb Carter
Title: Laborer
Phone: (202) 486-9954

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 96890253100000X (DC)

Other Contractor providers in District of Columbia →

Registry record

NPI: 1508111717
Entity type: Organization
NPI issued: 13 Jul 2012
Record last updated: 13 Jul 2012

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.