Individual
JOHNSTONE ASHUTANGTANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
Mailing address
1108 W NOLCREST DR, SILVER SPRING, MD 20903-1042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD10273102635
DRIVER LICENSE
—
Enumeration date
03/02/2023
Last updated
03/02/2023
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