Individual
DELANTE FLUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 UNION ST NE FL 7, WASHINGTON, DC 20002-7042
(903) 217-6359
Mailing address
1401 STAPLES ST NE APT 4, WASHINGTON, DC 20002-2954
(202) 763-2825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGPC200001628
DC
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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