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Individual

QUENTIN AVERY FLEMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3459 MINNESOTA AVE SE, WASHINGTON, DC 20019-2378
(202) 845-4885
Mailing address
4850 CONNECTICUT AVE NW APT 426, WASHINGTON, DC 20008-5904
(202) 629-6413

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3558737
DC
Enumeration date
05/30/2019
Last updated
05/30/2019
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