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Individual

GURAM DOLIDZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1727 MASSACHUSETTS AVE NW APT 311, WASHINGTON, DC 20036-2106
(703) 231-0726
Mailing address
1727 MASSACHUSETTS AVE NW APT 311, WASHINGTON, DC 20036-2106
(703) 231-0726

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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