Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MD041585 | DC |
NPI | 1205152709 |
---|---|
Provider Name | Miss Lenore Renee Jarvis |
First Address | Washington, DC 20010-2377 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2010 |
Last Update Date | 24/07/2013 |