Individual
SAQUAN ANTHONY PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 R ST NW, WASHINGTON, DC 20001-1918
(202) 520-1490
Mailing address
410 R ST NW, WASHINGTON, DC 20001-1918
(202) 520-1490
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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