Individual
GREGORY T STANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 VARNEY ST SE # T10, WASHINGTON, DC 20032-4310
(410) 202-7128
Mailing address
1817 24TH PL SE APT 202, WASHINGTON, DC 20020-4590
(410) 202-7128
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070331999
—
DC
Enumeration date
06/07/2022
Last updated
06/07/2022
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