Individual
LAWANE TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 23RD ST NW, WASHINGTON, DC 20037-1282
(202) 957-1135
Mailing address
6522 8TH AVE, HYATTSVILLE, MD 20783-3106
(240) 676-2868
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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