Individual
MR. ANDREW BANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 FLORIDA AVE NW, WASHINGTON, DC 20001-1850
(404) 710-6564
Mailing address
1425 17TH ST NW APT 405, WASHINGTON, DC 20036-6432
(404) 710-6564
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70825492
—
DC
Enumeration date
03/26/2021
Last updated
03/26/2021
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