Organization
TREATMENT 1
Active
Other names
treatment 1
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALEB CARTER SR. (LABORER)
(202) 486-9954
Entity
Organization
Contact information
Practice address
2431 25TH ST SE APT 1, WASHINGTON, DC 20020-3467
(202) 390-8043
Mailing address
2431 25TH ST SE APT 1, WASHINGTON, DC 20020-3467
(202) 390-8043
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
96890253100000X
DC
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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