Individual
EDOSA REGEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5112 2ND ST NW APT 1, WASHINGTON, DC 20011-3258
(202) 640-8434
Mailing address
5112 2ND ST NW APT 1, WASHINGTON, DC 20011-3258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500016026
DC
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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