Individual
MR. CALVIN ROSS SMALL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 G ST SW APT 610, WASHINGTON, DC 20024-3128
(202) 641-4833
Mailing address
301 G ST SW APT 817, WASHINGTON, DC 20024-3132
(202) 641-4833
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2023
Last updated
08/28/2023
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