Most Relevant Information
Provider Data
| NPI Number: | 1003583501 |
| Provider Name: | CHARLENE QUICK |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2021 |
| Last Updated: | 08/24/2021 |
Provider Practice Location
800 SOUTHERN AVE SE APT 408
WASHINGTON
DC
200324819
Practice Location Phone/Fax
| Phone: | 3015244804 |
| Fax: |
Provider Mailing Location
800 SOUTHERN AVE SE APT 928
WASHINGTON
DC
200324830
Provider Mailing Phone/Fax
| Phone: | 2408998699 |
| Fax: |