Healthcare Provider Details

I. General information

NPI: 1063198265
Provider Name (Legal Business Name): MISS URAINA DUNMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1377 R ST NW FL 2
WASHINGTON DC
20009-6293
US

IV. Provider business mailing address

1377 R ST NW FL 2
WASHINGTON DC
20009-6293
US

V. Phone/Fax

Practice location:
  • Phone: 202-939-7663
  • Fax:
Mailing address:
  • Phone: 202-939-7663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: