Individual
GREGORY MICHAEL TERRELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 OLIVE ST NE APT 1, WASHINGTON, DC 20019-2738
(202) 459-3357
Mailing address
1615 OLIVE ST NE APT 1, WASHINGTON, DC 20019-2738
(202) 459-3357
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70088527
—
DC
Enumeration date
12/17/2018
Last updated
12/17/2018
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