Most Relevant Information
Provider Data
| NPI Number: | 1003390956 |
| Provider Name: | DONTA STEVE HERROD |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2018 |
| Last Updated: | 09/17/2018 |
Provider Practice Location
4216 BENNING RD NE APT 204
WASHINGTON
DC
200194559
Practice Location Phone/Fax
| Phone: | 2023982742 |
| Fax: |
Provider Mailing Location
5404 JAMES PL NE
WASHINGTON
DC
200197025
Provider Mailing Phone/Fax
| Phone: | 2404172593 |
| Fax: |