Individual
BRUCE W PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-4318
(240) 761-9041
Mailing address
1011 MONROE ST NW, WASHINGTON, DC 20010-2011
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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