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JAN MARCUS DAJERO QUIAOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 537-4556
Mailing address
5597 SEMINARY RD APT 112, FALLS CHURCH, VA 22041-2684

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN1037841
DC
363LA2100X
Acute Care Nurse Practitioner
0024182840
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP1037841
DC

Other

Enumeration date
09/17/2021
Last updated
11/22/2023
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