Individual
JUSTIN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1442 SOMERSET PL NW APT 101, WASHINGTON, DC 20011-1041
(240) 417-0784
Mailing address
330 ALASTAIR ST, UPPER MARLBORO, MD 20774-1914
(240) 417-1160
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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