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Individual

KELECHI JAMES LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6120 GEORGIA AVE NW APT 110, WASHINGTON, DC 20011-5169
(202) 487-3317
Mailing address
1420 COWSILL DR, SEVERN, MD 21144-1081
(202) 487-3317

Taxonomy

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

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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