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Individual

TAVON LEE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1038 QUEBEC PL NW, WASHINGTON, DC 20010-1418
(202) 702-0513
Mailing address
4714 B ST SE, WASHINGTON, DC 20019-5132

Taxonomy

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

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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