Most Relevant Information
Provider Data
| NPI Number: | 1003302100 |
| Provider Name: | DARKY MOTA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2018 |
| Last Updated: | 07/02/2018 |
Provider Practice Location
1611 PARK RD NW
WASHINGTON
DC
200102165
Practice Location Phone/Fax
| Phone: | 2028200877 |
| Fax: |
Provider Mailing Location
2524 17TH ST NW APT 204
WASHINGTON
DC
200092858
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |