Individual
DARRON W COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 XENIA ST SE, WASHINGTON, DC 20032-3971
(202) 717-3507
Mailing address
1140 N CAPITOL ST NW APT 311, WASHINGTON, DC 20002-7554
(202) 427-3095
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70135814
—
DC
Enumeration date
07/31/2018
Last updated
07/31/2018
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