Healthcare Provider Details

I. General information

NPI: 1710616388
Provider Name (Legal Business Name): DMVROWING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 14TH ST NW FL 3
WASHINGTON DC
20009-4463
US

IV. Provider business mailing address

1947 14TH ST NW FL 3
WASHINGTON DC
20009-4463
US

V. Phone/Fax

Practice location:
  • Phone: 202-683-4055
  • Fax:
Mailing address:
  • Phone: 202-683-4055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: TINA LATIMER
Title or Position: OWNER
Credential:
Phone: 202-683-4055