Individual
MARK WILLIAM HUMPHREY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 K ST NE, WASHINGTON, DC 20002-4216
(202) 839-3500
Mailing address
1009 ATLEE DR, LANDOVER, MD 20785-5966
(240) 330-0786
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/17/2020
Last updated
06/02/2025
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