| Premium Select | |
|
4303 F St Se Washington DC 20019-4253 | |
| (202) 718-0504 | |
| Not Available |
| Full Name | Premium Select |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4303 F St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Sandra Marie Seawell (HHA) |
| Authorized Official Contact | 2027180504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Select 4303 F St Se Washington DC 20019-4253 Ph: (202) 718-0504 | Premium Select 4303 F St Se Washington DC 20019-4253 Ph: (202) 718-0504 |
| NPI Number | 1417350828 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 09/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417350828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | HHA5982 (District Of Columbia) | Primary |
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