Organization
DESFIT & DANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESTINIE BROWNLEE (CEO/ OWNER)
(202) 908-8149
Entity
Organization
Contact information
Practice address
2636 WADE RD SE, WASHINGTON, DC 20020-5906
(202) 425-4108
Mailing address
2604 BERKLEY ST, TEMPLE HILLS, MD 20748-2830
(202) 425-4108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011587613
—
MD
Enumeration date
07/23/2021
Last updated
07/23/2021
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