Individual
EDUVIGES MORENTE- MAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5924 16TH ST NW, WASHINGTON, DC 20011-2862
(202) 560-0555
Mailing address
3901 BURNS CT SE, WASHINGTON, DC 20019-3282
(202) 560-0555
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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