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Individual

MR. AVERY JAMAL THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1736 RHODE ISLAND AVE NE # E404, WASHINGTON, DC 20018-1800
(808) 212-3951
Mailing address
PO BOX 315, ACCOKEEK, MD 20607-0315
(808) 212-3951

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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