Individual
STANLEY LAMONTE FIELDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 T ST SE, WASHINGTON, DC 20020-4720
(202) 591-8190
Mailing address
1700 T ST SE, WASHINGTON, DC 20020-4720
(202) 591-8190
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1329721
DC
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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