Individual
NICO ODELL QUARTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 MONTANA AVE NE APT 3, WASHINGTON, DC 20018-3412
(202) 320-4410
Mailing address
1225 50TH PL NE APT 301, WASHINGTON, DC 20019-4018
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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