Individual
VAN LAMONT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 CHAMPLAIN ST NW, WASHINGTON, DC 20009-8700
(202) 826-0824
Mailing address
843 51ST ST NE, WASHINGTON, DC 20019-5544
(202) 826-0824
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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