Individual
PRINCE TAVON WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 N ST SW APT 516, WASHINGTON, DC 20024-3561
(202) 340-0182
Mailing address
6382 SMITHY SQ APT C, GLEN BURNIE, MD 21061-1285
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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