Individual
ALISA MICHELLE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 50TH ST NE, WASHINGTON, DC 20019-5372
(202) 292-0590
Mailing address
321 50TH ST NE APT 23, WASHINGTON, DC 20019-5372
(202) 292-0590
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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