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Individual

HASAN ALVIS LAMON VINES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
535 49TH PL NE, WASHINGTON, DC 20019-4704
(771) 200-0699
Mailing address
535 49TH PL NE, WASHINGTON, DC 20019-4704

Taxonomy

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

Other

Enumeration date
02/24/2026
Last updated
02/24/2026
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