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Individual

LAMONT TAIRI ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1369 IRVING ST NW APT 304, WASHINGTON, DC 20010-7235
(202) 883-9751
Mailing address
1423 GIRARD ST NW APT 1, WASHINGTON, DC 20009-8348
(240) 543-9239

Taxonomy

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

Other

Enumeration date
12/06/2023
Last updated
12/06/2023
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