Individual
MARCELLUS JERMAINE PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 58TH ST NE, WASHINGTON, DC 20019-6847
(240) 664-1347
Mailing address
2 M ST NE, WASHINGTON, DC 20002-3576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
D210867
DC
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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