Individual
DARUAN MARCELLUS QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 AVA CIR NE, WASHINGTON, DC 20017-2306
(202) 701-7707
Mailing address
6142 SURREY SQUARE LN APT 202, DISTRICT HEIGHTS, MD 20747-2920
(202) 910-9521
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521532B
—
DC
Enumeration date
04/27/2022
Last updated
04/27/2022
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