Individual
DEMETRIUS MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3726 D ST SE APT 102, WASHINGTON, DC 20019-3241
(202) 270-2180
Mailing address
3726 D ST SE APT 102, WASHINGTON, DC 20019-3241
(202) 270-2180
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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