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Individual

DANIEL DE JESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 1ST ST NW, WASHINGTON, DC 20534-0002
(202) 353-4207
Mailing address
6613 DESIREE CT, ALEXANDRIA, VA 22315-6039

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13235
PR

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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