Individual
MR. KHADEEM JULIUS WYNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(301) 633-4709
Mailing address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(301) 633-4709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
DC
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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