Individual
JUSTIN DAVON SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PERMIT TO CARRY GUN
Contact information
Practice address
640 AUDREY LN APT 102, OXON HILL, MD 20745-4626
(202) 487-1204
Mailing address
640 AUDREY LN APT 102, OXON HILL, MD 20745-4626
(202) 487-1204
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356696
—
DC
01
—
438-95732
PERMIT TO CARRY A HANDGUN
MD
01
—
99-500540
PERMIT TO CARRY A HANDGUN VA
VA
05
—
CPR
—
DC
Enumeration date
12/11/2018
Last updated
12/11/2018
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