Individual
GARY NECLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 E CAPITOL ST NE APT 104, WASHINGTON, DC 20019-5209
(202) 563-2126
Mailing address
2613 DOUGLASS RD SE APT 101, WASHINGTON, DC 20020-6566
(202) 678-7414
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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