Individual
DAVID PELLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-2408
(202) 878-6626
Mailing address
3341 BENNING RD NE, WASHINGTON, DC 20019-1502
(202) 421-3901
(202) 543-2758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
09/20/2024
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