Individual
KISHAHN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 36TH ST NE APT 1, WASHINGTON, DC 20019-2636
(240) 417-0784
Mailing address
7250 HAWTHORNE RD, LA PLATA, MD 20646-5711
(202) 531-3171
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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