Individual
DEMRIS ANITA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 16TH ST NW, WASHINGTON, DC 20306-0003
(301) 319-0269
Mailing address
3423 LONDONLEAF LN, LAUREL, MD 20724-2900
(301) 369-0530
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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