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Individual

MARCELLOUS CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
35109 SARA CT, LOCUST GROVE, VA 22508-2192
(202) 360-6060
Mailing address
35109 SARA CT, LOCUST GROVE, VA 22508-2192
(202) 360-6060

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T67397272
VA

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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