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Individual

MR. NOAH HANKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA,CSA, CSFA

Contact information

Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(443) 910-0033
Mailing address
903 HILLSIDE LAKE TER APT 605, GAITHERSBURG, MD 20878-5242
(443) 910-0033

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000318
VA
246ZC0007X
Surgical Assistant
SA00773
TX
246ZC0007X
Surgical Assistant
Primary
SA0196
DC

Other

Enumeration date
11/17/2017
Last updated
01/05/2021
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