Individual
MICAH BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3759 J ST NE APT 2, WASHINGTON, DC 20019-1835
(202) 388-4703
Mailing address
3759 J ST NE APT 2, WASHINGTON, DC 20019-1835
(202) 388-4703
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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