Individual
JANSON LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3023 14TH ST NW APT 206, WASHINGTON, DC 20009-6844
(202) 760-7394
Mailing address
3023 14TH ST NW APT 206, WASHINGTON, DC 20009-6844
(202) 760-7394
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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