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Contact Information

GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC
1601 16TH ST SE
WASHINGTON, DC20020-5503
 Phone: 202-724-5539
 Fax: 866-269-3011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GUH KIDS MOBILE MEDICAL CLINIC PROGRAM LLC · (Female)

NPI # 1326502410
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2019
Last updated 01/23/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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