Individual
LARRY CHEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 1ST ST NW APT 104, WASHINGTON, DC 20001-2285
(202) 848-3125
Mailing address
1011 14TH ST SE APT 31, WASHINGTON, DC 20003-4429
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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