Individual
TREVOR JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1338 N CAPITOL ST NW, WASHINGTON, DC 20002-3396
(202) 745-0073
Mailing address
1338 N CAPITOL ST NW, WASHINGTON, DC 20002-3396
(202) 745-0073
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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