Individual
DEMARRO SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5011 9TH ST NW, WASHINGTON, DC 20011-3915
(202) 203-0351
Mailing address
5011 9TH ST NW, WASHINGTON, DC 20011-3915
(202) 203-0351
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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