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Individual

BOBBY WAYNE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 FORT DAVIS ST SE APT 203, WASHINGTON, DC 20020-1075
(202) 758-9839
Mailing address
1647 HOLBROOK ST NE APT 1, WASHINGTON, DC 20002-2542
(202) 758-9839

Taxonomy

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

Other

Enumeration date
03/08/2024
Last updated
03/08/2024
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