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Individual

CHAMARCRA OUTLAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1116 5TH ST NE, WASHINGTON, DC 20002-3412
(202) 609-5121
Mailing address
4800 SHERIFF RD NE, WASHINGTON, DC 20019-3708
(202) 609-5121

Taxonomy

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

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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