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Individual

ANDREW FRITZGERALD COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 DELAWARE AVE SW APT 320, WASHINGTON, DC 20024-3945
(202) 839-6698
Mailing address
1200 DELAWARE AVE SW APT 320, WASHINGTON, DC 20024-3945
(202) 839-6698

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1969
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C-455-067-252-379
HEALTHCARE
MD
Enumeration date
03/28/2019
Last updated
03/28/2019
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