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Organization

GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC

Active
Other names
MGUH KMMC- School Health Center @ Roosevelt SHS
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE SCHNEIDER (VP)
(702) 558-1403
Entity
Organization

Contact information

Practice address
4301 13TH ST NW, WASHINGTON, DC 20011-5629
(202) 727-6501
(202) 727-6333
Mailing address
2000 15TH ST N STE 600, ARLINGTON, VA 22201-2900
(703) 558-1217
(703) 558-1445

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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