Individual
JIMMY AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 HAREWOOD RD NE, WASHINGTON, DC 20017-1513
(202) 529-0900
(202) 526-8879
Mailing address
11517 AQUARIUS COURT, FORT WASHINGTON, MD 20744
(240) 603-1291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000006834
DC
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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