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Organization

GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
4200 WISCONSIN AVE NW STE 400, WASHINGTON, DC 20016-2100
(202) 444-8888
(202) 444-4315
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(703) 558-1217
(703) 558-1445

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/05/2021
Last updated
11/05/2021
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