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Jabut Elvis
NPI 1447986195 · on the registry since 2022
Practice
- Address
- 4103 53rd Pl
Bladensburg, MD 20710 - Phone
- (202) 867-2522
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland