Individual
REGINALD STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 EDGEWOOD ST NE, WASHINGTON, DC 20017-4261
(202) 480-3170
Mailing address
9703 QUIET BROOK LN, CLINTON, MD 20735-3374
(202) 460-9172
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
S-315-734-237-760
MD
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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