| Orlesa Grosvenor | |
|
350 G St Sw N620 Washington DC 20024-3129 | |
| (352) 208-4497 | |
| Not Available |
| Full Name | Orlesa Grosvenor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 350 G St Sw, Washington, District Of Columbia |
| Authorized Official Name and Position | Orlesa Poole (OWNER) |
| Authorized Official Contact | 3522084497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlesa Grosvenor 350 G St Sw N620 Washington DC 20024-3129 Ph: (352) 208-4497 | Orlesa Grosvenor 350 G St Sw N620 Washington DC 20024-3129 Ph: (352) 208-4497 |
| NPI Number | 1528561842 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528561842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC50081368 (District Of Columbia) | Primary |
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