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Jose Labaceno
NPI 1538429162 · on the registry since 2012
Practice
- Address
- 5211 5th St Nw
Washington, DC 20011 - Phone
- (202) 718-2188
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-16
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 District of Columbia