Davon Cornell Bryan
Case Manager/Care Coordinator in Washington, DC. Individual provider (NPI-1).
NPI number1982304929
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1982304929
- Entity type
- Individual (NPI-1)
- Name
- Davon Cornell Bryan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2023
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3300 Pennsylvania Ave SeWashington, DC 20020-2408
Phone 202-878-6626
Mailing address
1019 Huntsworth CtCapitol Heights, MD 20743-3044
Phone 240-346-4441
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