Individual
ANDRE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 IRVING ST NW, WASHINGTON, DC 20010-2912
(202) 253-5583
Mailing address
445 IRVING ST NW, WASHINGTON, DC 20010-2912
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
DC
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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