Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | CS84-00325 | DC |
NPI | 1356552434 |
---|---|
Provider Name | Dr. Esther L.b. Childers |
First Address | Mclean, VA 22101-3308 |
Second Address | Washington, DC 20059-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |