Individual
LAUREL JADE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3708 13TH ST NW, WASHINGTON, DC 20010-1411
(412) 651-3828
Mailing address
3708 13TH ST NW, WASHINGTON, DC 20010-1411
(412) 651-3828
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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